Clinical Documentation Specialist, First Reviewer

Employer Industry: Healthcare Services

• Salary up to $
• Opportunity for career advancement and growth within the organization
• Comprehensive benefits package, including paid parental leave and tuition coverage
• Flexible payment options for eligible team members through Daily Pay
• Supportive work environment focused on clinical documentation improvement
• Eligible for remote work in approved states

• Perform concurrent analytical reviews of clinical and coding data to improve physician documentation
• Conduct initial and follow-up reviews of patient records to assign accurate diagnoses and procedures
• Query physicians for additional documentation regarding unclear or conflicting health records
• Educate healthcare providers on the importance of accurate and complete documentation
• Collaborate with coding professionals to resolve discrepancies and ensure DRG accuracy

• Minimum of 1 year of experience as a Clinical Documentation Specialist
• Additional 2 years of experience in an acute care setting or relevant experience
• Graduate of an accredited school of nursing, PA, NP, or medical school, or Associate's degree with CCDS certification
• Certification as a Clinical Documentation Specialist (CCDS) from ACDIS
• Proficiency with MS Office tools, especially Excel

• Prior experience reviewing patient safety indicators (PSI) or specialized mortality reviews
• Strong understanding of clinical documentation improvement practices
• Experience in educating healthcare teams on documentation standards
• Ability to conduct independent research on clinical topics and coding guidelines

#Healthcare Services #Clinical Documentation #Career Opportunity #Remote Work #Competitive Pay

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