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
...Call Center Manager Home Improvement Industry (Phoenix, AZ) We are a leader in home improvement specializing in windows and bath remodeling, is seeking an experienced Call Center Manager to oversee and elevate our in-house call center operations. We are looking...
Associate Energy Transaction Trader (Portland, OR) #113780 Date: Jun 20, 2025 Location: PORTLAND, OR, US, 97232 Company: PacifiCorp POWER YOUR GREATNESS PacifiCorp is seeking customer-centric candidates to grow and sustain our commitment ...
...established, physician-led multispecialty group in the Detroit Metro area , serving the community since 1982. With specialties in Infectious Disease, Rheumatology, and Hematology/Oncology, our team is known for providing high-quality, patient-centered care. Due to a partner...
...element back to marketing through direct and impactful interactions. Role Description This is a full-time, on-site role as an Entry Level Event Coordinator located in Charlotte, NC. The Entry Level Event Coordinator will be responsible for planning and executing...
...showcasing automotive and product retouching work. ~ Solid understanding of lighting, composition, and color theory. ~ Familiarity with CGI integration and rendering workflows is a plus. ~ Experience working in a fast-paced environment with a collaborative team....