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
...Earn Up To $16/hr or More Delivering Food In Chicago, IL (Downtown)! Who Are We? Urban Delivery is a delivery platform that utilizes technology to allow you... ...Food! Unlike other delivery jobs, which require drivers to fold boxes or sweep floors in your downtime, Urban...
...monitors the ongoing operation of a complex network environment Certification: Network+, CCNA, or SEC+ is required Security Clearance Level: SECRET clearance is required with ability to obtain TS/SCI Clearance Required Skills and Abilities: Must meet DoD 8570 IAM I...
...Description DNV is seeking a motivated and customer-oriented Sales Executive to support the growth of our medical certification... ...-functionally with global and regional teams. Willingness to travel within the U.S. and Canada as needed (approx. 20-30%). We conduct...
...related duties as assigned. Skills and Abilities: Proficient in operating Reach Trucks and other warehouse equipment (sit-down forklift, cherry picker.) Ability to work independently and as part of a team. Strong attention to detail and commitment to safety...
...We are looking for a Sommelier to join the re-opening of the famed Delano Miami Beach. Set to open its doors in early 2026, Delano Miami Beach will fuse historic charm with contemporary luxury, reflecting a reimagined experience that pays homage to the original...