California Licensed Clinical Documentation Specialist

Job Summary

A company is looking for a Clinical Documentation Specialist, Clinician.

Key Responsibilities

• Conduct concurrent and retrospective reviews of patient medical records for accuracy and completeness
• Interact with physicians and care teams to clarify medical record documentation
• Identify opportunities for documentation improvement to optimize reimbursement and enhance reporting outcomes

Required Qualifications, Training, and Education

• Graduate of an accredited school of nursing or foreign-trained physician
• Registered Nurse (RN) license in California or foreign-trained physician
• 5 years of recent relevant experience; CDIP or CCDS preferred
• Clinical knowledge of diagnoses, severity of illness, and related procedures
• Knowledge of current coding classification and reimbursement guidelines