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
...Job Title: Structural Steel Assistant Project Manager Location: Chattanooga, TN Reports To: Director of Operations Salary Range... ...to ensure field execution, shop coordination, and logistics align with project goals. Key Responsibilities: Lead all phases...
...Position Title: Paralegal City: Minneapolis State: MN Country: US Type: 4 (Exempt, Bargaining Unit 1 (EB) # of Openings: 1 Category: Contract Administration & Enforcement/Representation - Paralegal...
&##128204; Now Hiring: Administrative Assistants - Multiple Openings!&##128205; Houston, TX | In-Office & Hybrid Options &##128188... ...to-Hire | Direct Hire &##128178; $18.00 - $25.00/hr (Based on Experience) Are you an organized, detail-oriented professional with a...
...Position Details: Title: User Experience Research Associate Location: Acton, MA Description: We are looking for an Associate User Experience (UX) Researcher in the growing Innovation & Strategy organization to accomplish our mission. The Associate...
...Job Summary: The Operations Manager is responsible for overseeing the day-to-day operational functions of the organization to ensure efficiency, productivity, and compliance with company policies and industry regulations. This role involves managing teams, streamlining...