Clinical documentation improvement specialist vs registered nurse

Differences between clinical documentation improvement specialist and registered nurse duties and responsibilities

Clinical documentation improvement specialist example responsibilities.

• Create documentation education classes to general surgery residents, increasing the leveling of reporting which lead to increase revenues.
• Interact directly with physicians to query for more specific documentation and to provide documentation guidelines from ICD-9 and ICD-10 standards.
• Prepare, maintain and update clinical documentation ensuring completeness and accuracy of services provide to the patients.
• Assign the correct POA status.
• Participate in the initiation of the CDIS program.
• Train new employees on how to utilize radiology information systems.
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Registered nurse example responsibilities.

• Manage patient care for individuals with multiple diagnoses including COPD, diabetes, stroke and cardiac issues.
• Organize and manage regular clinics involving external physicians, including ophthalmology, ENT, Med/Surg, orthopedics, and podiatry professionals.
• Manage surgical recovery patients including vascular, ENT, GI urological and neurological cases, coronary bypass surgery patients.
• Manage patient pain relief and sedation by providing pharmacological and non-pharmacological intervention, monitor patient response and record care plans accordingly.
• Provide care for cardiac patients in arrhythmia critical care unit, providing patient education and monitoring telemetry
• Re-Cover surgical patients immediately after heart and vascular surgery until transfer out of ICU.
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