Clinical Documentation Specialist

Job Summary

Working remotely full-time, the Clinical Documentation Specialist I will provide education to healthcare providers, ensure accurate clinical documentation, and review coding compliance while maintaining records within the CDI software system.

Key responsibilities

• Review and assign appropriate DRG, APC, and HCC codes based on clinical documentation
• Educate healthcare providers on documentation standards and query for diagnostic specificity
• Maintain accurate records of review and query activities while meeting daily targets

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
• Proficiency in department CDI software
• Ability to utilize reporting functions for meetings and presentations
• Knowledge of inpatient or outpatient payment methodologies