Certified Clinical Documentation Specialist

Job Summary

To enhance clinical documentation quality, the full-time Certified Clinical Documentation Specialist will review PSI/HAC accounts, assist in educating CDI staff and providers, and collaborate with various departments while working remotely.

Key responsibilities

• Conduct daily coding consults and PSI/HAC reviews, ensuring accuracy and compliance with specifications
• Assist in training and education of clinical documentation specialists and providers on documentation requirements
• Report PSI/HAC data and trends to management and participate in departmental meetings

Required qualifications

• Associate degree in Nursing, Health Information Management, or a related healthcare field
• Three to five years of experience in CDI and/or inpatient coding
• Certified Clinical Documentation Specialist (CCDS) certification
• Registered Nurse, RHIA, RHIT, CPC, CCS, or CCS-P certification
• Proficiency with electronic medical records and coding systems