Remotehey

T+S

USC/GC/Gc-EAD

Last 4 of SSN

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DOB in MM/DD

Domain: Hospital/Healthcare

Under limited direction and according to clinical documentation guidelines and established policies/procedures, responsible for improving the overall quality and completeness of clinical documentation in the legal medical record.

• Facilitates necessary documentation in the medical record through extensive interaction with physicians, HIM, and coding staff to ensure the most appropriate reimbursement and highest level of SOI/ROM is achieved for the level of service rendered to all patients
• Educates physicians regarding clinical documentation needs, changes to clinical documentation guidelines and coding and reimbursement opportunities on an on-going basis
• Applies knowledge of medical terminology and procedures to evaluate clinical documents for documentation and reimbursement opportunities
• Acute Care (inpatient) medical record monitoring (concurrent) of diagnoses, treatments, and follow-up entries in medical records to validate the accuracy of patient medical record documentation and diagnoses – obtaining missing information via a query when necessary
  
  

Clinical Documentation Specialist Qualifications

• Must have at least one of the following:
• License to practice as a Registered Nurse preferred (any state)
• Credentialed as a RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician) or CCS (Certified Coding Specialist)
• Must have all of the following:
• 3+ years Acute Care (inpatient) and Concurrent Clinical Documentation Specialist experience
• CCDS (Certified Clinical Documentation Specialist - ACDIS) or CDIP (Certified Documentation Practitioner - AHIMA) credential required