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
...Were a growing boutique home remodeling company based in Culver City, and were looking for a motivated Office Manager to keep our operations running smoothly. If youre organized, proactive, and thrive in a fast-paced but supportive environment, this could be a great...
...JOB SUMMARY The Maintenance Technician is responsible for maintaining the physical condition and appearance of the commercial and residential spaces on the Belle City Square campus in Racine, WI. This includes performing routine maintenance, responding to service requests...
...Join Our Mission to Brighten Smiles & Build Healthier Communities! Position : Registered Dental Hygienist Organization : MyCHN A nonprofit healthcare leader with 100+ providers and 15+ locations in the Greater Houston and Gulf Coast area What Youll Do:...
...truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. The Registered Dental Hygienists main purpose is to deliver appropriate patient care to help aid the patient in achieving optimal oral health. The Registered...
...fashion, luxury, music, pop culture, and sports. Based out of Nashville, TN, is most known for his iconic artwork creating the Ice Cream Baseball Glove, a reimagined baseball glove that has challenged the way that we view sporting goods design and on-field self-expression...