Maryland Licensed Clinical Documentation Specialist

Job Summary

A company is looking for a Clinical Documentation Specialist II.

Key Responsibilities

• Facilitate improvements in the overall quality and completeness of medical record documentation
• Collaborate extensively with providers to obtain appropriate and accurate clinical documentation
• Conduct in-depth reviews of assigned cases involving Maryland Hospital-Acquired Conditions (MHACs) and ICD-10 code-related quality indicators

Requirements

• Bachelor's degree or equivalent professional knowledge
• 5+ years of clinical experience as a Registered Nurse (RN), Physician Assistant (PA), or Medical Doctor (MD)
• 5-7 years of relevant healthcare experience, with demonstrated expertise in clinical documentation improvement
• Active Maryland license as an RN, PA, or MD
• Clinical Documentation Improvement certification (CDIP or CCDS) with 2-5 years of CDI-specific experience