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
...collaboration, and prioritizes your development. Whether youre working in our four global Home Offices, Distribution Centers or Retail StoresTJ Maxx, Marshalls, Homegoods, Homesense, Sierra, Winners, and TK Maxx, youll find abundant opportunities to learn, thrive, and make an...
...Join Our Team as a Work-From-Home Data Entry Research Panelist! Are you ready to earn money from the comfort of your own home? This exciting opportunity is perfect for anyone with a variety of skills and backgrounds whether you've been an administrative assistant,...
...Flight Services International LLC is now accepting applications for its 2026 flight attendant hiring classes, based out of Houston, TX, and Miami... ...to any country that FSI's airline customer(s) require Able to... ...Authorized to work in the United States Able to pass a background...
Job Description The Transition Specialist Representative leads the Paycom implementation by partnering with Outside Sales Reps, Client Relations Representatives (CRR), Paycom Specialists (PSD), and New Client Setup (NCS) Specialists to ensure a successful implementation...
Overview The counselor may provide care to persons with substance use disorders in the outpatient and inpatient settings. Qualifications Certifications: Certified Alcohol and Drug Counselor (CADC), Basic Life Support (BLS) within 30 days of hire Education: Bachelor...