Clinical Documentation Specialist

Job Summary

A company is looking for a Clinical Documentation Specialist I.

Key Responsibilities

• Provide education to providers and clinicians to ensure accurate clinical documentation
• Review medical records for correct DRG, APC, and HCC assignment, ensuring compliance with industry standards
• Conduct reviews in various outpatient settings and maintain accurate records of review and query activity

Required Qualifications

• High School Diploma/GED or equivalent
• Five years of experience as a clinical nurse or inpatient/outpatient coder, or two years as a Clinical Documentation Integrity Specialist
• Associate's Degree in a healthcare-related field (preferred)
• Registered Nurse (RN) in the current state of employment (preferred)
• ICD10-CM, CPT, HCC, and HCPCS coding experience (preferred)