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
RN Team Leader with 15K Sign on Bonus, PENSION, 401K plan, 4 weeks vacation and Compnay paid Life Insurance This Jobot Job is hosted by: Donna Gawroski-Kusik Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $1...
...Job Description Physical Therapy Aide / PT Tech (All Locations Novi, Royal Oak, Plymouth) Adams Sports Medicine & Physical Therapy, P.C. About Us At Adams Sports Medicine & Physical Therapy, we are Athletes Treating Athletes with the focus of helping active...
...MalaceHR is seeking an experienced Supermarket Refrigeration Installation Manager to oversee all aspects of refrigeration installation projects within the region. This role manages the full lifecycle of installing supermarket rack systems, walk-in coolers/freezers, display...
...and quality programs, Titeflex expertise can be traced to its aerospace roots at the dawning of the space age. We provided solutions and... ...requirements plays into the strengths of our applications engineers. We are able to assimilate some of the most difficult and demanding...
Wolfpack Industries, a pioneer in advanced manufacturing solutions serving industries such as automotive and aerospace, is seeking a knowledgeable Safety Supervisor. This role is crucial to maintaining the highest standards of safety and efficiency in a dynamic, high-stakes...