Clinical Documentation Improvement Specialist

Job Summary

A company is looking for a Clinical Documentation Improvement Specialist.

Key Responsibilities

• Review medical records for completeness and compliance with regulatory requirements
• Prepare and communicate compliant queries to physicians regarding documentation needs
• Educate healthcare providers on correct coding and documentation practices

Required Qualifications, Training, and Education

• Bachelor of Science in Nursing or Health Information Management or related field
• CCDS, CDIP certification preferred; RN/BSN preferred
• 5 years of Critical Care/Emergency medicine or Medical Surgical Experience preferred
• 2-3 years of Clinical Documentation Improvement experience or 5 years of Coding experience preferred
• MD/DO with relevant coding or documentation specialist experience will be considered