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RN - CDI Specialist (ICD-10)
PeaceHealth | Springfield, Oregon
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Job Description

Req ID: 154295

PeaceHealth is seeking a RN - CDI Specialist (ICD-10) for a per diem, Day shift position.

Responsible for improving the overall quality and completeness of clinical documentation. Facilitate improvement to clinical documentation through extensive interaction with key stakeholders to ensure that appropriate reimbursement is received for the service rendered. Ensure the accuracy and completeness of clinical information used for measuring and reporting outcomes. Educate all members of the patient care team on an ongoing basis.
1. Ensures the overall accuracy, completeness and timeliness of the clinical documentation to support the coding process in attaining the appropriate Diagnosis Related Groups (DRG).
2. Ensures the completeness and accuracy of the clinical documentation by: formulating credible clarifications, conferring with providers to clarify clinical diagnosis terminology.
3. Provides training to providers and caregivers to facilitate accuracy of clinical documentation, impact on coding and reimbursement and to improve methodologies to support data integrity.
4. Reviews clinical documentation, identifies incomplete or inaccurate information for clinical relevance. Works with key stakeholders in a timely manner to ensure points of clarification are recorded in medical records, and appropriate DRG assignment completed to allow accurate coding and reimbursement.
5. Acts as a resource for best practices in clinical documentation, impact of Medicare guidelines and facilitates educating key stakeholders.
6. Participates as a member of the JATA Task Force.
7. Keep abreast of Medicare part A and how it impacts DRG assignment, knowledge of pathophysiology and disease process.  Knowledge of value based purchasing and other quality metrics affecting the clinical documentation integrity program.
8. Performs other related duties as assigned.

  • Graduate of an accredited school/college of nursing is required.
  • Bachelor’s degree in Healthcare Administration, Nursing or equivalent healthcare degree is preferred.


  • Minimum 3 years acute care nursing experience (direct patient care) in hospital setting, preferably Critical Care or Medical /Surgical.
  • Experience as a Clinical Documentation Specialist in a hospital program is preferred.
  • Experience with JA Thomas software preferred.


  • Current Registered Nurse licensure in the state in which nurse will be practicing.
  • CCDS (Certified Clinical Documentation Specialist) preferred.
  • CCRN (Critical Care Registered Nurse) certification preferred


  • Strong verbal, written and interpersonal communication skills.
  • Ability to interact effectively with providers and all levels of staff to achieve quality outcomes.
  • Ability to effectively communicate clinical information.
  • Ability to analyze/problem solve.
  • Strong computer skills to include word processing, spreadsheet and data entry.
  • Strong organization skills with the ability to work in a fast-paced environment independently and as part of an interdisciplinary team.
  • Excellent critical thinking skills, able to assess, evaluate and teach.
  • Working knowledge of all areas of adult medicine.


  • Work requires active physical exertion up to 33% of the time.
  • Ability to lift objects weighing 50 lbs. or less.
  • Work requires frequent exposure to minor cold, heat, poor ventilation or sharp instruments. Reasonably anticipated exposure to blood and body fluids once per month or more.
  • Job duties frequently require intense concentration or attention to detail (34-65% of work time).

Please apply online to be considered. For full consideration of your skills and abilities, please attach a current resume with your application.

About PeaceHealth

PeaceHealth, based in Vancouver, Wash., is a not-for-profit Catholic health system offering care to communities in Washington, Oregon, and Alaska. PeaceHealth has approximately 16,000 caregivers, a multi-specialty medical group practice with more than 900 providers and 10 medical centers serving both urban and rural communities throughout the Northwest. In 1890, the Sisters of St. Joseph of Peace founded what has become PeaceHealth. Today, PeaceHealth is the legacy of its founding Sisters and continues with a spirit of respect, stewardship, collaboration and social justice in fulfilling its Mission.

We offer competitive compensation, a robust benefits package and a collaborative, Mission-driven work environment! To learn more about working at PeaceHealth and the Springfield, OR community please visit our homepage: www.peacehealth.org/careers.

Get a feeling for the Spirit of PeaceHealth through this three-minute video, and visit us on Facebook or LinkedIn!

Questions? Review our Employment FAQ or email Recruitment@peacehealth.org. Please note this email does not accept resumes or applications.

Location: Springfield, OR, SHMC at Riverbend (420)
Job Category:  Professionals - Clinical; Professionals - Other
Shift:  Day
Shift Length: 8 Hours
FTE: 0.0
Work Type:  Full Time
Hourly compensation starts at: $35.55, more depending on experience
Required Certifications/Licensure: Registered Nurse - Oregon

PeaceHealth is committed to providing equal employment opportunities to all qualified job applicants and employees without regard to the following statuses: protected veteran; qualified individual with a disability; race; ethnicity; religion; gender; pregnancy; gender identity; national origin; age; genetic information; sexual orientation; or any other protected status in accordance with local, state, or federal laws.

The above information is intended to indicate the general nature and level of work performed by this position. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of caregivers assigned to this job.

Posting Notes: Springfield, OR || Professionals - Clinical; Professionals - Other || Full Time || HUMAN RESOURCES

About PeaceHealth

PeaceHealth is a not-for-profit health care system sponsored by the Sisters of St. Joseph of Peace, with services in Washington, Oregon and Alaska. PeaceHealth's rigorous pursuit of exceptional medicine springs from its mission, values, and commitment to provide healing and compassionate care to patients and families.

This company profile was created by AfterCollege and is about PeaceHealth. This page is not endorsed by or affiliated with PeaceHealth. For questions regarding company profiles, please email: care@aftercollege.com.