Clinical Documentation Integrity Specialist
New
A
Adventist HealthHealthcare
United StatesTemporaryMiddle
Salary not disclosed
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Job Details
- Experience
- Three years' clinical experience; two years' clinical documentation experience
Requirements
- Associate's/Technical Degree or equivalent combination of education and related experience.
- Three years of clinical experience.
- Two years of clinical documentation experience.
- Current licensed RN, medical provider, or equivalent.
- Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP) certification.
- Ability to interpret medical records and clinical documentation.
- Knowledge of coding requirements and documentation guidelines.
- Commitment to receiving all required vaccinations.
Responsibilities
- Evaluate and assess medical records for clinical specificity, documentation accuracy, and coding requirements.
- Perform coding, DRG assignment, and track review activity in software.
- Analyze records to formulate and follow up on physician queries.
- Update working DRG based on physician feedback or documentation updates.
- Communicate documentation deficiencies or conflicting data to department leadership.
- Act as a liaison between medical staff and the coding department to ensure accurate diagnosis capture.
- Monitor regulatory changes and attend ongoing education sessions.
- Attend physician and care management meetings to review assigned cases.
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