Clinical Documentation Improvement Specialist

Job Summary

A company is looking for a Clinical Documentation Specialist.

Key Responsibilities

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

Required Qualifications

• Bachelor of Science in Nursing or Health Information Management, or related field
• CCDS or CDIP certification preferred
• 5 years of experience in Critical Care/Emergency medicine or Medical Surgical experience preferred
• 2-3 years of Clinical Documentation Improvement experience or 5 years of Coding experience preferred
• Familiarity with Medicare reimbursement system and coding structures preferred