Clinical Documentation Improvement Specialist
New
C
Cooper Norcross HealthHealthcare documentation
Source API remote eligibility restrictions: United StatesFull-TimeMiddle
Salary34 - 56 USD per year
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Job Details
- Experience
- 3-5 years of experience required.
Requirements
- Have 3-5 years of experience.
- Have a high school diploma or GED.
- Have a bachelor's degree.
- A Bachelor of Science in Nursing is preferred.
- Certified Clinical Documentation Specialist certification is preferred.
- Certified Documentation Improvement Practitioner certification is preferred.
- Registered nurse license in any state is preferred.
- Be a professional team player and communicate well with others at all levels.
Responsibilities
- Review inpatient medical records for clear, consistent, concise, legible, and accurate documentation.
- Generate queries to clarify conflicting, ambiguous, or incomplete physician documentation about significant reportable conditions or procedures.
- Analyze clinical information to identify gaps in documentation.
- Use the physician advisor to clarify clinical presentation.
- Collaborate with HIM leadership, coders, coding quality educators and reviewers, and peers to improve final DRG accuracy.
- Educate physicians, nurses, and ancillary staff on clinical documentation improvement.
- Work with physicians, nursing staff, other caregivers, and health information coding staff to capture appropriate reimbursement and clinical severity.
- Review cases denied for medical necessity by auditing agencies and help the physician advisor collect information for appeals.
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