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Dax Scott
Clinical Documentation Improvement Specialist (CDIS)
Summary
Highly accomplished Clinical Documentation Improvement Specialist (CDIS) with over 8 years of experience in the healthcare industry. Proven track record of success in implementing and managing clinical documentation improvement programs that have significantly reduced documentation error rates and improved coding accuracy. Strong understanding of medical terminology, health information management, data analytics, and quality assurance best practices. Excellent communication and interpersonal skills.
Education
Bachelor of Science in Health Information Management
October 2017
Skills
- Clinical Documentation Integrity
- Medical Terminology
- Health Information Management (HIM)
- Data Analytics
- Quality Assurance
- Medical Coding
Work Experience
Clinical Documentation Improvement Specialist (CDIS)
- Educated physicians and nurses on best practices for clinical documentation, leading to a significant improvement in documentation quality.
- Conducted audits of medical records to ensure compliance with regulatory requirements.
- Collaborated with HIM and IT departments to implement new technologies and workflows to improve documentation efficiency.
- Analyzed clinical documentation trends to identify areas for improvement and develop targeted interventions.
Clinical Documentation Improvement Specialist (CDIS)
- Led a team of clinical documentation specialists in implementing a new documentation system, resulting in a 15% reduction in documentation error rates.
- Developed and implemented a clinical documentation improvement program that reduced the number of rejected claims by 20%.
- Partnered with physicians to develop clinical documentation guidelines that ensure accurate and complete documentation.
- Utilized computerassisted coding (CAC) tools to identify and correct coding errors, improving coding accuracy by 10%.
Accomplishments
- Led the implementation of a new clinical documentation improvement software, resulting in a 15% reduction in documentation errors
- Developed and implemented a training program to improve physician documentation, leading to a 20% increase in documentation quality
- Identified and corrected over 2,000 documentation errors, resulting in improved patient safety and reduced risk of liability
- Streamlined the clinical documentation improvement process, resulting in a 30% reduction in review time
- Collaborated with physicians and nurses to improve the quality of documentation, resulting in a 10% increase in coding accuracy
Awards
- AHIMA 2023 Conference Recognition for Outstanding Contribution to Clinical Documentation Improvement
- Top 10% Performer Award for Clinical Documentation Improvement Specialists, 2022
- AHIMA Region 5 Excellence Award for Clinical Documentation Improvement Project
- Top 5 Contributors to Clinical Documentation Improvement Best Practices, 2021
Certificates
- Certified Clinical Documentation Improvement Specialist (CCDIS)
- Registered Health Information Administrator (RHIA)
- Certified Health Information Management Professional (CHIMP)
- Certified Coding Associate (CCA)
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How To Write Resume For Clinical Documentation Improvement Specialist (CDIS)
- Highlight your experience in implementing and managing clinical documentation improvement programs.
- Quantify your accomplishments with specific metrics, such as reduction in documentation error rates or improvement in coding accuracy.
- Demonstrate your knowledge of medical terminology, health information management, data analytics, and quality assurance best practices.
- Showcase your communication and interpersonal skills, which are crucial for working with physicians and other healthcare professionals.
- Consider obtaining a certification in clinical documentation improvement (CDI) to further enhance your credibility.
Essential Experience Highlights for a Strong Clinical Documentation Improvement Specialist (CDIS) Resume
- Led and managed a team of clinical documentation specialists in implementing a new documentation system, resulting in a 15% reduction in documentation error rates.
- Developed and implemented a clinical documentation improvement program that reduced the number of rejected claims by 20%.
- Partnered with physicians to develop clinical documentation guidelines that ensure accurate and complete documentation.
- Utilized computer-assisted coding (CAC) tools to identify and correct coding errors, improving coding accuracy by 10%.
- Educated physicians and nurses on best practices for clinical documentation, leading to a significant improvement in documentation quality.
- Conducted audits of medical records to ensure compliance with regulatory requirements.
- Collaborated with HIM and IT departments to implement new technologies and workflows to improve documentation efficiency.
Frequently Asked Questions (FAQ’s) For Clinical Documentation Improvement Specialist (CDIS)
What is the role of a Clinical Documentation Improvement Specialist (CDIS)?
A Clinical Documentation Improvement Specialist (CDIS) is responsible for ensuring the accuracy and completeness of clinical documentation in healthcare settings. They work with physicians and other healthcare professionals to improve the quality of medical records, which is essential for accurate coding, billing, and patient care.
What are the key skills required for a Clinical Documentation Improvement Specialist (CDIS)?
Key skills for a Clinical Documentation Improvement Specialist include a strong understanding of medical terminology, health information management, data analytics, and quality assurance best practices. They should also have excellent communication and interpersonal skills, as they work closely with physicians and other healthcare professionals.
What is the career outlook for Clinical Documentation Improvement Specialists (CDIS)?
The career outlook for Clinical Documentation Improvement Specialists (CDIS) is expected to grow in the coming years due to the increasing emphasis on healthcare quality and accuracy. As healthcare organizations strive to improve patient care and reduce costs, the demand for qualified CDIS professionals will continue to rise.
What are the different career paths for Clinical Documentation Improvement Specialists (CDIS)?
Clinical Documentation Improvement Specialists (CDIS) can advance their careers by moving into management roles, such as Clinical Documentation Improvement Manager or Director. They can also specialize in specific areas, such as coding or auditing.
How can I become a Clinical Documentation Improvement Specialist (CDIS)?
To become a Clinical Documentation Improvement Specialist (CDIS), you typically need a bachelor’s degree in health information management or a related field. You may also need to obtain a certification in clinical documentation improvement (CDI).