Clinical Documentation Specialist

Job Summary

A company is looking for a Clinical Documentation Specialist - Remote.

Key Responsibilities

• Facilitates improvement in the quality and completeness of clinical documentation and assigns working DRGs for inpatient admissions
• Queries physicians for clarification of documentation and performs clinical record abstracting to support optimal reimbursement and data quality
• Educates the care team on documentation guidelines and ensures accuracy of medical record abstract data prior to billing

Required Qualifications

• Associates or Bachelor's degree in Health Information Management and/or a coding certification (CCS)
• Two years of inpatient clinical coding experience or completion of a competency assessment for inpatient coding
• Proficiency with Encoder/Grouper technology and basic keyboarding skills
• Successful completion of required education courses
• CCS, CDIP, or CCDS certification required