Clinical Documentation Specialist Qualifications
• Must have at least one of the following:
o License to practice as a Registered Nurse preferred (any state)
o Credentialed as a RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician) or CCS (Certified Coding Specialist)
• Must have all of the following:
o 3+ years Acute Care (inpatient) and Concurrent Clinical Documentation Specialist experience
o CCDS (Certified Clinical Documentation Specialist - ACDIS) or CDIP (Certified Documentation Practitioner - AHIMA) credential required
Under limited direction and according to clinical documentation guidelines and established policies/procedures, responsible for improving the overall quality and completeness of clinical documentation in the legal medical record.
• Facilitates necessary documentation in the medical record through extensive interaction with physicians, HIM and coding staff to ensure the most appropriate reimbursement and and highest level of SOI/ROM is achieved for the level of service rendered to all patients
• Educates physicians regarding clinical documentation needs, changes to clinical documentation guidelines and coding and reimbursement opportunities on an on-going basis
• Applies knowledge of medical terminology and procedures to evaluate clinical documents for documentation and reimbursement opportunities
• Acute Care (inpatient) medical record monitoring (concurrent) of diagnoses, treatments, and follow-up entries in medical records to validate the accuracy of patient medical record documentation and diagnoses – obtaining missing information via a query when necessary
...a community of 400,000 global customers, Workato empowers organizations... ...ranked us the #1 best company for remote workers Responsibilities The Customer Success Team at Workato is the... ...are seeking a Customer Success Manager to work with customers in our...
...respected, safe, and valued, and we provide equal opportunity to participate and grow. We are seeking an accomplished and dynamic AMS Solutions leader for North America. In this role, you will be responsible for leading the development of complex ATM Managed...
...ExperienceActive Top Secret Security ClearanceExperience in a Business Analyst or Consulting roleExperience working with end users to... ...DescriptionA client in the metro DC area is looking to add a Junior Business Intelligence Analyst to their team! This is working...
...1st shift. This position is ideal for candidates with a strong eye for detail who are looking for a long-term career in quality inspection and manufacturing. Key Responsibilities Inspect finished and in-process products to ensure quality and accuracy Verify products...
Job Description Job Description Job description: Position Overview We are seeking a skilled Maintenance Technician with expertise in industrial refrigeration systems to join our food manufacturing team. This role is responsible for maintaining, troubleshooting, and repairing...