Clinical Documentation Improvement Specialist

Job Summary

A company is looking for a Medical Records Technician Clinical Documentation Improvement Specialist (In/Patient/Out-Patient).

Key Responsibilities

• Conduct ongoing education and concurrent reviews to improve clinical documentation and identify missed opportunities
• Document co-morbidities and complications, querying medical staff for accurate health record documentation
• Provide training and resources to clinical staff regarding documentation standards and coding compliance

Required Qualifications, Training, and Education

• U.S. Citizenship is required
• One year of experience in medical terminology, anatomy, physiology, and medical coding, or an associate's degree in health information technology
• Completion of an AHIMA approved coding program or equivalent training
• Certification through AHIMA or AAPC is required for MRT (Coder) positions
• Knowledge of healthcare documentation regulations and coding guidelines is essential