Clinical Documentation Improvement Specialist educating clinicians on documentation and coding requirements. Collaborating across healthcare facilities and providing training to improve documentation quality.
Responsibilities
Advise and educate Emergency Medicine, Hospital Medicine, Critical Care Medicine, Telemedicine, and Urgent Care internal and external clients on current documentation/coding requirements
Counsel clinicians identified as outliers via face-to-face interaction, phone, web-based, and/or email
Perform chart analysis/recommendations to support quality documentation feedback to clinicians
Educate and counsel clinicians on how to resolve external chart queries
Travel to territories as required to provide in-person documentation education and training
Analyze coding and billing data to identify documentation and RVU outliers
Requirements
Bachelor's degree - required in Health Information Management, Nursing, or another related field
2 years' experience in Hospital or Physician practice environment performing related job duties
Experience with Emergency Medicine, Hospital Medicine, Urgent Care documentation and coding guidelines preferred
Basic knowledge in Microsoft office suite
Strong skills in Microsoft Suite such as Outlook, Excel, and PowerPoint
Certification and Licenses: Registered Health Information Administration (RHIA), Documentation Improvement Practitioner (CDIP), Certified Clinical Documentation Specialist (CCDS), Certified Professional Coder (CPC), or Certified Coding Specialist (CCS)
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