Clinical Documentation Improvement Specialist
New
R
Raventra HealthMedical Services
United StatesFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- 2+ years of experience
- Required Skills
- HIPAA
Requirements
- 2+ years of experience in clinical documentation improvement, medical coding, clinical documentation review, or a related healthcare role
- Strong understanding of clinical documentation, medical terminology, and coding principles
- Experience reviewing medical records and identifying documentation gaps
- Ability to communicate effectively with physicians, providers, coders, and other healthcare professionals
- Strong knowledge of documentation requirements and their impact on coding and reimbursement
- Excellent attention to detail and analytical skills
- Ability to manage multiple cases and priorities while meeting quality and productivity expectations
- Ability to work independently and effectively in a fully remote environment
- Maintain a HIPAA-compliant private workspace
- RN, RHIA, RHIT, CCS, or CPC certification (nice to have)
- Experience with ICD-10-CM, CPT, and HCC coding (nice to have)
- Experience with Epic, Athena, or eClinicalWorks (nice to have)
Responsibilities
- Review clinical documentation for completeness, accuracy, and consistency with the services provided
- Identify documentation gaps or inconsistencies that may affect coding, claims, or reimbursement
- Conduct appropriate provider queries to clarify clinical documentation when needed
- Collaborate with medical coders and provider teams to improve documentation quality
- Review clinical records and supporting documentation to identify opportunities for more accurate code assignment
- Support documentation requirements related to payer policies, audits, and compliance
- Track recurring documentation issues and communicate trends to internal teams
- Provide feedback and education to providers and coding staff on documentation requirements
- Maintain accurate records of CDI activities, queries, and outcomes
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