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 Description Job Description Maintenance Technician School Processing Opal Foods is currently accepting applications for the position of Maintenance Technician for our Anderson Processing Plant in Anderson, MO. This position is responsible for performing...
...for over 68 years. We are a company that works with over 40,000 different labor unions,... ...Flexible work hours ~ Remote work from home option ~100% Commission Pay ONLY ~ Provide... ...full training ~ Residual Income ~ Paid Weekly ~ Benefits (After 3 Months)~ All-...
...Job Description Nightingale Nurses - Allied is seeking a travel Radiology Technician for a travel job in Hershey, Pennsylvania. Job Description & Requirements ~ Specialty: Radiology Technician ~ Discipline: Allied Health Professional ~ Start Date: 11/24/2...
Hiring: Part-time Research Study Personnel (Pay up to $790/wk.) Due to demand, we are now accepting applications for personnel to participate in our local in-person and nationwide remote research studies. Description This gig is perfect for those looking for temporary...
...Job Description Job Description AKIRA Fashion Stylist About AKIRA Founded in 2002 with our first women's boutique in Chicago... ...complete, head-to-toe looks for clients. Managing and personalizing fitting rooms to enhance the client experience. Building meaningful...