
Clinical Documentation Specialist
2 weeks ago
Major Responsibilities:
- Perform concurrent reviews of inpatient records using EHR platforms (e.g., Iodine, Epic)
- Identify documentation gaps and issue compliant, patient-specific queries
- Apply knowledge of DRG classification, ICD-10-CM/PCS, and coding guidelines
- Maintain accurate logs of reviews, query status, and follow-ups in designated systems
- Achieve productivity and quality benchmarks under the CDI program
Education & Experience:
- Bachelor's degree in Life Sciences, or equivalent — Required
- 2–7 years of experience in medical coding or CDI in an acute care or RCM setting (some type of coding experience required; inpatient coding experience highly preferred) — Required
- Certified Clinical Documentation Specialist (CCDS/CDIP) or AHIMA/AAPC credential — Preferred
- Proficiency with ICD-10, DRG grouping, and query compliance practices — Required
- Strong communication, analytical, and clinical interpretation skills
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