Clinical Documentation Specialist Qualifications
• Must have at least one of the following:
o License to practice as a Registered Nurse preferred (any state)
o Credentialed as a RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician) or CCS (Certified Coding Specialist)
• Must have all of the following:
o 3+ years Acute Care (inpatient) and Concurrent Clinical Documentation Specialist experience
o CCDS (Certified Clinical Documentation Specialist - ACDIS) or CDIP (Certified Documentation Practitioner - AHIMA) credential required
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 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
...TRS Healthcare is seeking an experienced OR - Operating Room Surgical Tech for a travel assignment in Chapel Hill, NC. The Surgical Tech must be certified to work in North Carolina or be able to attain certification beforehand. Our healthcare professionals are expected...
Careers With Purpose Join our not-for-profit organization that has provided over 100 years of housing and services to seniors with a commitment to quality care and service in a Christian environment. Facility: GSS ND Lakota Ctr Location: Lakota, ND Address...
...systems. Role Description We are hiring Journeyman Electricians and Apprentice Electricians to join our electrical division. Our... ...License (Arkansas). ~4+ years of electrical construction experience. ~ Strong knowledge of NEC and local electrical codes....
...Job Title: Treasury Consultant Location: On-site in Decatur, IL (Remote option available after initial 23 weeks on-site) Engagement Type: Contract (W2) through Jefferson Wells Start Date: Mid-September Duration: Minimum 3 months, with potential for extension...
...Security Officer - Full Time - Open Interviews! Are you a dynamic individual with a strong background in customer service? Are you looking for an opportunity to grow your career with a company where your experience and dedication will truly be valued? Then LOOK no further...