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
...organization? If you can answer yes to these questions, this job could be for you! About the role! The Mentor Teacher is responsible for serving as the lead teacher in specialized academic instruction, legal compliance of IEPs, and support in facilitating...
...County, NY | Northern Bergen County, N &##128338; Job Type: Part-Time &##128176; Compensation: $17 - $18 / HR &##127891;... ...time job , Jovie is the perfect fit! Whether you're a college student, stay-at-home parent, retiree, or someone with childcare experience...
...Business Development Manager - Lithium Battery Solutions B2B Sales Business Development Manager - Lithium Battery Solutions B... ...environments. ~ Background in batteries, electrical, or industrial equipment, energy storage, or renewable energy industry ~ Strong...
Procurement Manager - Professional Services, AMS The Procurement team aims to provide high-quality purchasing solutions and establish a global platform for purchasing resources. Through providing professional management of procurement resources, selecting high-quality suppliers...
...Job Description Physical Therapist - Athletic Trainer Mercy Sports Medicine Therapy 15945 Clayton Rd. Ballwin, MO 63011 Provide services regarding prevention, recognition, evaluation, immediate care and rehabilitation for all active individuals and...