Clinical Document Improvement Specialist

Why consider this job opportunity

• Opportunity for career advancement and growth within the organization
• Work remotely while being part of a dynamic healthcare team
• Comprehensive benefits package including health insurance and retirement plans
• Engage in meaningful work that directly impacts patient care and documentation accuracy
• Collaborative environment with opportunities for training and professional development

• Conduct concurrent reviews of clinical documentation in medical records to ensure accuracy and completeness
• Collaborate with healthcare professionals to identify and record principal and secondary diagnoses
• Utilize clinical knowledge to clarify documentation and communicate effectively with medical staff
• Track program progress and share findings with relevant staff to improve documentation quality
• Educate physicians and staff on the importance of severity of illness and risk of mortality documentation

• Associate's Degree in Health Information Management or a related field from an accredited institution
• Certification in RHIT or RHIA, along with CCDS or CDIP
• Minimum of 3 years of experience in Clinical Documentation, Case Management/Utilization Review, or Critical Care
• Licensed Registered Nurse (LRN) in the relevant state or multi-state jurisdiction
• Strong interpersonal and communication skills for effective collaboration with healthcare teams

• Experience in an acute care setting as a nurse with at least 3 years of practice
• Familiarity with healthcare documentation standards and compliance regulations
• Advanced training in clinical documentation improvement techniques
• Ability to conduct training sessions for medical staff on documentation practices
• Demonstrated skills in critical thinking and problem-solving within healthcare environments

#Healthcare Services #Clinical Documentation #Career Opportunity #Remote Work #Professional Development

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