Any Clinical Documentation Specialist here?

Just wondering how do you like or dislike your job.. pro's con's of dealing with the doctors etc.
I have never heard of a "clinical documentation specialist" - what do they do? What is their education? Thanks - curious.

It involves either a nurse or HIM professional and they assist the coders with documentation from the doctors and nursing staff. They tend to work on the units and serve as the liason for the coding dept.

Quote from traumaRUsI have never heard of a "clinical documentation specialist" - what do they do? What is their education? Thanks - curious.

Quote from traumaRUsI have never heard of a "clinical documentation specialist" - what do they do? What is their education? Thanks - curious.

Thanks for your reply.. my question is how are the doctors? I hear they can be very mean and hard to get along with when doing CDI..

Quote from kgard7777Just wondering how do you like or dislike your job.. pro's con's of dealing with the doctors etc.

Quote from dbqpCDS can be HIM coders and or RNs' nurses with good clinical knowledge.Requires additional education of the MSDRG system and basic ICD coding.exampleOne the function is to do real time concurrent coding .In identifying principle dx secondary dx, identifying complications and commobidities and querying medical staff for accurate clear documentation in the patients medical record. The more specific and descriptive the documentation of patients diagnosis and condition provides better quality care for the patient, better data collection, anad for the coders provides timely and accurate coding of the medical record which also provides appropriate reimbursemnet.

Yes it is and then once you complete the HIM program you sit for the Registered health information admin. national exam to become registered and this will enable to work in all aspects of HIM.The HIT is the associates degee program..

Quote from kgard7777Thanks for your reply.. my question is how are the doctors? I hear they can be very mean and hard to get along with when doing CDI..

CDI Leaders,I am working with a health system seeking to recruit a leader in clinical documentation improvement, who can design, implement and lead their program. Any recommendations about who has been successful in building or leading a CDI program ?

Yes, Orlando regional hospital here in Orlando Florida has an excellent program. pm me and i give can give u contact info

Where are you located? I am currently a Lead Clinical Documentation Specialist working for a terrific director. She is encouraging me to pursue higher managerial positions in Clinical Documentation. She built our program and she is mentoring me. Also, she may be curious about the position.