Pennsylvania Licensed Clinical Documentation Specialist

Job Summary

A company is looking for a Clinical Documentation Improvement Specialist Senior.

Key Responsibilities

• Reviews inpatient medical records to evaluate and assign diagnoses and procedures for accurate documentation
• Formulates queries for missing or unclear documentation and provides ongoing education to healthcare providers
• Collaborates with interdisciplinary teams to ensure accurate clinical documentation and supports coding accuracy

Required Qualifications

• Associate's Degree in a Medical/Healthcare Field (Required); Bachelor's Degree preferred
• Minimum of 3 years of CDI or related experience (Required)
• Current certification as one of the following: Certified Clinical Documentation Specialist, Certified Risk Adjustment Coder, Registered Health Information Technician, or Certified Professional Coder