Clinical Documentation Integrity Specialist

Job not on LinkedIn

🔥 13 hours ago

🏄 California – Remote

🏄 California – Remote

💵 $69 / hour

⏱ Part Time

🟢 Junior

🏥📝 Medical Writer

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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CVHP Project & Development Management

WebsiteLinkedInAll Job Openings

1 - 10 employees

🏗️ Construction

💼 Consulting

🏨 Hospitality

Construction • Consulting • Hospitality

CVHP Project & Development Management is an Italian project management and property development firm that delivers planning, coordination, and development services for real estate projects. The company focuses on bringing order to complex development processes, overseeing projects from conception through delivery, and serving property owners, investors, and stakeholders. Contact details suggest a small professional practice operating in Italy.

📋 Description

• Facilitate the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other members of the healthcare team. • Ensure documentation accurately reflects patients’ clinical conditions and level of service. • Communicate with providers through discussion and/or compliant queries to address missing, unclear, conflicting, or clinically unsupported diagnoses. • Assign MS-DRG/APR-DRG appropriately. • Evaluate severity of illness (SOI) and risk of mortality (ROM). • Identify relevant clinical indicators, including HACs and PSIs. • Apply principles of clinical validation. • Ensure queries comply with AHIMA/ACDIS guidelines and the CDI Code of Ethics.

🎯 Requirements

• Bachelor's degree preferred. • Minimum of one (1) year of inpatient coding experience and/or experience working as a Clinical Documentation Integrity Specialist in an acute care setting. • Strong knowledge of MS-DRG, APR-DRG, ICD-10-CM/PCS coding guidelines. • Experience using encoder and electronic health record (EHR) systems. • Excellent verbal and written communication skills. • Strong analytical thinking, problem-solving abilities, and attention to detail. • Proficiency in Microsoft Office applications preferred. • ACDIS Certified Clinical Documentation Specialist (CCDS) or AHIMA Certified Documentation Integrity Practitioner (CDIP) required within 1 year of hire/transfer.