California Licensed Clinical Documentation Specialist

Job Summary

A company is looking for a Clinical Documentation Specialist.

Key Responsibilities

• Conducts concurrent and subsequent reviews of clinical documentation to ensure accuracy and completeness for coding purposes
• Communicates with medical staff to clarify documentation and follows up on queries to obtain necessary information
• Educates physicians on documentation best practices and analyzes CDI program performance through report interpretation

Required Qualifications

• Minimum of an Associate's Degree in Nursing; Bachelor's Degree preferred
• Current RN License preferred
• Basic MS Office skills including Excel, Word, and Outlook
• Experience with EPIC, 3M 360, and 3M eMD preferred
• Strong critical thinking skills and up-to-date clinical knowledge