Clinical Document Improvement Specialist RN

Clinical Document Improvement Specialist RN (Full Time)

Join Lake Charles Memorial Health System as a Clinical Document Improvement Specialist RN – a full‑time position focused on ensuring accurate and complete medical record documentation to support coding, reimbursement, and quality metrics.

• Review inpatient admissions to identify opportunities to improve documentation quality.
• Comply with all relevant policies, procedures, guidelines and regulatory standards.
• Initiate physician interaction for clarification of ambiguous or conflicting documentation and guarantee it is recorded per policy.
• Maintain positive, open communication with physicians, the care team, and coding staff.
• Participate in professional development workshops, conferences, and in‑services.
• Educate on the importance of complete documentation for coding quality, DRG assignment, physician profiling, case mix index, and expected mortality rates.
• Stay current with changes in coding guidelines, compliance, reimbursement, and relevant regulatory updates.
• Understand the flow of health information from documentation to coding, billing, and data reporting.

• Graduate of an approved nursing school.
• Basic computer skills.
• Current nursing license in Louisiana or a multi‑state compact license.
• Maintain required hours of in‑service per year for continuing education.
• CPR certification.
• Proficiency in English reading, writing, and speaking.

• Variety of physical activities, including moving within and outside hospital properties for long periods.
• Responsive to emergency and non‑emergency situations.
• May assist in controlling disorderly or combative patients.
• Communicate accurately with patients, families, peers, and medical personnel.
• Reasonable accommodations may be provided to enable performance of essential functions.

Lake Charles Memorial Health System is a nationally certified Great Place to Work® committed to exceptional patient care and to the well‑being and professional growth of employees.

Referrals increase your chances of being selected for an interview by approximately two times.