Clinical Documentation Integrity Specialist

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥📝 Medical Writer

👻 Ghost score 15%

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📋 Description

• Review and evaluate medical record documentation for completeness, accuracy, and compliance • Collaborate with physicians, nurses, and coding professionals to ensure appropriate clinical documentation • Identify opportunities for documentation improvement to support coding accuracy, reimbursement, and clinical outcomes • Analyze medical records to ensure documentation supports quality care and appropriate reimbursement • Formulate compliant, clinically sound physician queries

🎯 Requirements

• Minimum of 2 years of inpatient clinical documentation improvement (CDI) experience • Minimum of 2 years of bedside nursing experience in an acute care setting (ICU, Med/Sure, ED, Etc.) • Registered Nurse (RN) certification required • CCDS/CDIP preferred but not required • Knowledge of ICD-10-CM, MS-DRGs, coding guidelines, and compliance standards • Excellent communication, critical thinking, and organizational skills • Comfortable using MS Office, email, VPNs, virtual machines, two-factor authentication, and video conferencing tools (MS Teams, Zoom, etc.) • Utilization of 3M and Epic software preferred but not required

🏖️ Benefits

• Full benefits package • PTO • Top pay • Collaborative, mission-driven team environment • Opportunities for continuous learning, education and professional growth • Leadership that values your expertise and input

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