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Clinical Documentation Improvement Specialist

Exempt, Full Time Position


Date Posted: March 2023

Department: Quality

Since 1970, Community Health Services has existed to provide comprehensive health care services to the residents of Hartford and Windsor. We were made for the community, by the community, to offer a full spectrum of services to include medical, behavioral health care, dental care, a full-service pharmacy and more. Our goal is to offer our patients a medical home; a place where they can come for all of their needs; a place where the clinical staff know them by their first name. Our dedicated staff demonstrate the good we can do on a daily basis when we provide quality care with dignity to each and every individual. We want to help our patients get all of the health care they need -- when they need it -- so they may too live a healthier and happier life.

Community Health Services, Inc. is searching for a detail-oriented, self-starting individual for the Clinical Documentation Improvement Specialist  to collaborate extensively with billing specialists, providers, nursing staff and other members of the patient care team to improve the quality and completeness of documentation of care.

The successful candidate will:


  • A Bachelor's Degree in Nursing or a related field

  • Three (3) years of experience in quality improvement or health information management

  • Deep knowledge of clinical conditions, procedures, and basic documentation requirements

  • Strong understanding of, and demonstrated experience using ICD-10, DRG, and other related classification systems

  • Advanced proficiency with Microsoft Office Suite products (Word, Excel, PowerPoint, Access) and ability to navigate an Electronic Health Record

  • Audit and analyze clinical documentation in the electronic health record to ensure documentation is clear, accurate, reflects the severity of the clinical presentation, and is consistent with CMS coding guidelines

  • Improves the overall quality, integrity, and completeness of the ambulatory clinical documentation by performing chart audits/reviews to verify appropriate ECD10 and CPT codes are assigned, and documentation requirements are met, to ensure appropriate reimbursement is received for the level of service rendered

  • Serve as an organizational subject matter expert on outpatient coding and acceptable documentation practices. Plan and conduct training for clinical stakeholders that include goals, objectives, and lesson plans related to electronic health record and current ICD and CPT coding standards

Some benefit programs available to eligible employees include:
  • Medical Insurance

  • Dental Insurance

  • Vision Insurance

  • 401(k) Plan and up to 4% Employer Match

  • Generous Paid Time Off

  • 9 Paid Holidays

  • Competitive Pay

  • Employer Paid Life Insurance

  • Employer Paid Short Term Disability

  • Employer Paid Long Term Disability

  • Employee Assistance Programs

  • Worker's Compensation

  • Various Leave Programs - Bereavement, Military, Maternity, and more

COVID-19 Vaccination Requirements

CHS requires all new employees to be vaccinated against Covid-19 prior to starting employment with CHS unless they are approved for a reasonable accommodation based on disability, medical condition, or religious belief that prevents them from being vaccinated.

Community Health Services is An Equal Opportunity/Affirmative Action Employer. 
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status, age or any other federally protected class.

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