Clinical Documentation Integrity Specialist I

🔥 0 minutes ago

🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥📝 Medical Writer

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Prisma Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Prisma Health is a comprehensive health care provider offering a wide range of medical services to ensure individuals achieve their healthiest state. With numerous locations, advanced technology, and expert specialists, Prisma Health provides accessible and convenient care. Services include primary care, specialized heart, cancer, women's, and children's health, as well as same-day and telehealth options. Prisma Health emphasizes community outreach and education to support overall health and wellness.

📋 Description

• Conduct concurrent medical record reviews of selected patient health records • Address clarity, completeness, consistency, and accuracy of clinical documentation • Use the query process to ensure documentation reflects severity of illness, risk of mortality, comorbid conditions, length of stay, principal diagnosis, and POA status • Complete reconciliation to ensure accurate coding • Develop and maintain collaborative relationships with providers and healthcare team members, including education and follow-up • Stay current with coding guideline changes, treatment modalities, clinical disease indicators, and compliant query policies • Serve as a resource for coworkers, providers, and support departments • Assign a working DRG for healthcare team discharge planning and CDI use • Perform other duties as assigned

🎯 Requirements

• Associate degree in Nursing, Health Information Management, or related field of study • Two (2) years of adult medical/surgical/critical care/ER/PACU nursing, coding, or related experience • RHIA, RHIT, CCS, CIC, or licensure in a related field of study • Current RN compact/multistate license recognized by the NCSBN Compact State, or RN license to practice in the state where the team member is working • Computer skills • Communication skills with ability to interact with providers • General knowledge of IPPS, ICD-10 Coding, MS-DRG/APR-DRG, and HCPCS coding systems preferred