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Bunnybop Bunnybop (Member)

Clinical Document Specialist, is it right for me?

Quality Improvement   (1,923 Views 3 Comments)
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Hello all,

I was looking for some input about being clinical document specialist. Nursing is my second career. I spent 15 years doing accounts receivable and a bit of human resources (Workers Compensation & Disability) for a medium sized company. I have been a Med/Surgical Nurse at a Hospital in Downtown Baltimore for 3 years. I am looking to find a job that combines my past and present experience together.

Can you offer any advice on things I should study for applying for this position? I know it involves using your nursing knowledge to review charts and request clarification, so the hospital can be reimbursed correctly. Is there software you use to help generate query's? A reference book that shows what relevant services a doctor should have ordered for a certain diagnosis? Hot topics you need to be master of? I've only found a handful of threats on CDS and some of what I read make it sound like you need to be an ICU nurse with 20 years exp. And others seem to have no experience at all.

Becoming a nurse has made me realize that I need to be in total control of my surroundings. I personally need to do an excellent job & be a master at my job, bedside nursing is to chaotic with so many unknown variables I feel like a wreck every day I come home. I was a resource to my co-workers in my previous job and I loved it and I hope to find a new position in nursing where I can be a Master and resource to others again.

Any advice would be most welcome!

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I can tell you that the majority of our CDI queries at this time (I do not do this job but just sat and talked with them yesterday) are related to sepsis, because it's difficult for the physicians to master and a high-value code that often gets missed.

I work for a large healthcare corporation and they send our CDI folks a list of charts that must be queried daily, with detailed criteria, pre-worded queries, etc. But they are also told to use their nursing judgment, so you get to do that. It's exactly 50% being glued to a computer screen and 50% chasing doctors to provide education.

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I would love some information, too. I am in the final stage of an interview for this position and am not sure if it's for me. I have over 9 years RN experience, the first 8 were in ED, the last have been in a smaller private clinic - which I have loved! But I have to move and I don't think I will get the same job anywhere else as I have here, especially with the pay I am receiving here. I am considering trying this career, but would love to know more about the salary.

The position I am applying for is a salaried position vs. hourly - for those of you who do this work do you find the pay comparable to floor nurses? Higher? Lower?

I am considering this job because the people who do it seem passionate about what they do, they seem to love it, and I am always up for trying something new, but I would want to be paid at least the same as a floor nurse (obviously preferably more since it is a specialty)...and I'm hoping that the amount of flexibility and remote work will be high.

What do you love most about this work? And what do you hate? I am a people person and I'm worried I won't have enough interaction with people...

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