State Licensed Clinical Documentation Specialist

Job Summary

A company is looking for a Clinical Documentation Integrity Specialist I.

Key Responsibilities

• Conduct concurrent and retrospective reviews of medical records to ensure accurate documentation of conditions and procedures
• Educate and query providers to enhance diagnostic specificity and ensure proper coding
• Maintain accurate records of review and query activities within the CDI software system

Required Qualifications

• High School Diploma/GED
• Current licensure as a Registered Nurse (RN)
• Five years of experience as an RN or two years as a Clinical Documentation Integrity Specialist
• Understanding of risk-adjusted payment methodologies and professional coding
• Experience with ICD10-CM, CPT, HCC, and HCPCS coding is preferred