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
...learning experience and an MS. or Ph.D. degree in math, statistics, computer science, or other quantitative fields preferred. ~ Proficiency with transforming and analyzing large scale data with modern cloud computing platforms (e.g.,SparkSQL, BigQuery, Snowflake,...
Safir American School is on a mission to provide comprehensive, and effective high school education. Our teachers are passionate about delivering a high-quality, technology-based education that provides the skills and knowledge needed for student success. They have a passion...
...adventure, travel and exploration! We specialize in creating inspiring hotel stays for our guests in iconic destinations. This is a rare... ...you're going to do What you'll be responsible for: The Head Chef is a hands-on culinary leader responsible for developing and...
...and services. Highly desired candidates will have: a bachelor's degree in data science, computer science, data analytics, information technology, or a related field; hands-on experience with AI model tuning and evaluation; and professional certifications from...
Job title: 1933 GNCP Flight Software EngineerCompany: AllPointsJob description: *US CITIZENSHIP REQUIRED**THIS IS AN ON-SITE POSITION. REMOTE WORK IS NOT SUPPORTED**PLEASE READ REQUIREMENTS THOROUGHLY*Description of position/duties: All Points is seeking a dedicated...