Clinical Documentation Integrity Specialist, Per Diem

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🕒 March 26

🏄 California – Remote

🏄 California – Remote

💵 $69 / hour

⏱ Part Time

🟢 Junior

🏥📝 Medical Writer

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CVHP Project & Development Management

WebsiteLinkedInAll Job Openings

1 - 10 employees

🏠 Real Estate

🤝 B2B

Real Estate • B2B

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

• Facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other members of the healthcare team • Ensures documentation accurately reflects the patient’s clinical conditions and level of service • Communicates with providers through discussion and/or compliant queries to address missing, unclear, conflicting, or clinically unsupported diagnoses • Includes appropriate assignment of MS-DRG/APR-DRG, severity of illness (SOI), risk of mortality (ROM), and identification of relevant clinical indicators (e.g., HACs, PSIs) • Applies principles of clinical validation and ensures all queries comply with AHIMA/ACDIS guidelines and the CDI Code of Ethics

🎯 Requirements

• Medical degree or Bachelor of Science in Nursing (BSN) 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

🏖️ Benefits

• Health insurance • Retirement plans