Remote - Associate Clinical Documentation Improvement Specialist

Overview

• Opportunity for career advancement and growth within the organization
• Comprehensive benefits package including medical, dental, and vision coverage
• Paid time off and tuition support for continued education
• Matched retirement plans for team members working 32+ hours per pay period
• Supportive and collaborative work environment
• Chance to make a positive impact on patient care and documentation accuracy

• Conduct concurrent and retrospective reviews of inpatient medical records to ensure accuracy and completeness
• Collaborate with inpatient care providers to maintain compliant and consistent clinical documentation
• Identify opportunities for improvement in clinical documentation related to physician and hospital outcomes
• Review records and interpret clinical data to reflect the true Severity of Illness (SOI) and Risk of Mortality (ROM)
• Work flexible schedules to accommodate provider rounding and medical staff presentations

• Education:
  
  RN, BSN, RHIA, RHIT, CCS, CPC, CIC, CCDS, or CDIP
• Minimum 1 year of related experience in acute care inpatient nursing, inpatient coding, or Health Information Management (HIM)
• Strong critical thinking skills and excellent communication abilities, both written and verbal
• Proficiency in computer programs such as Excel and Word, with data entry experience
• Ability to work independently and maintain confidentiality of sensitive information

• Education:
  
  RN, CCS, CPC, RHIA, RHIT, or a combination thereof
• Minimum 3 years of experience in nursing, inpatient coding, or another HIM role in an acute hospital setting
• Knowledge of diagnosis-related groups (DRG) and prospective payment systems
• Experience in utilization review or case management
• Certification as a CCDS (Certified Clinical Documentation Specialist) or CDIP (Certified Documentation Improvement Practitioner)

#Healthcare Services #Clinical Documentation #Career Opportunity #Healthcare Innovation #Team Collaboration

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