Clinical Documentation Specialist Qualifications
• Must have at least one of the following:
o License to practice as a Registered Nurse preferred (any state)
o Credentialed as a RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician) or CCS (Certified Coding Specialist)
• Must have all of the following:
o 3+ years Acute Care (inpatient) and Concurrent Clinical Documentation Specialist experience
o CCDS (Certified Clinical Documentation Specialist - ACDIS) or CDIP (Certified Documentation Practitioner - AHIMA) credential required
Under limited direction and according to clinical documentation guidelines and established policies/procedures, responsible for improving the overall quality and completeness of clinical documentation in the legal medical record.
• Facilitates necessary documentation in the medical record through extensive interaction with physicians, HIM and coding staff to ensure the most appropriate reimbursement and and highest level of SOI/ROM is achieved for the level of service rendered to all patients
• Educates physicians regarding clinical documentation needs, changes to clinical documentation guidelines and coding and reimbursement opportunities on an on-going basis
• Applies knowledge of medical terminology and procedures to evaluate clinical documents for documentation and reimbursement opportunities
• Acute Care (inpatient) medical record monitoring (concurrent) of diagnoses, treatments, and follow-up entries in medical records to validate the accuracy of patient medical record documentation and diagnoses – obtaining missing information via a query when necessary
...Helper to join our team. This position is ideal for someone whos eager to learn the trade with a long-term goal of running our Granite Fabrication Department . Why Join Us: Paid internship with hands-on training Path to a full-time position with clear advancement...
A leading manufacturing company in Pennington, AL, is seeking experienced Maintenance Mechanics for the Day Shift Maintenance Team. You'll be responsible for troubleshooting, repairing, and performing preventative maintenance on manufacturing equipment. A successful candidate...
...Inspect and maintain vehicle supplies and equipment, such as gas, oil, water, tires, lights, or brakes, to ensure that vehicles are in... ...1 year (Preferred) Other : CDL License- Class B (Required) Tanker Endorsement Clean Driving Record Must pass background and...
...Join us at the Zoo! We are seeking an experienced janitorial custodian to join our on-call, overnight team! At Reid Park Zoo, we dont cut corners we clean them ! The custodians role is vital for health, safety, and creating a positive atmosphere for all employees...
...Professional 2**Become a part of our caring community and help us put health first**. The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and...