Inpatient Clinical Documentation Integrity
5 days ago
About the Role:We are seeking a seasoned and detail-oriented Inpatient CDI Specialist to join our team. This role is crucial in improving the accuracy of clinical documentation and aligning it with inpatient coding standards. The position emphasizes enhancing data quality, ensuring proper risk adjustment, and maintaining compliance to support organizational quality and financial objectives.---Key Responsibilities
Clinical Documentation and Coding Accuracy:· Conduct comprehensive reviews of inpatient medical records to validate clinical documentation and ensure ICD-10-CM/PCS coding accuracy.· Collaborate with providers to ensure documentation supports accurate DRG assignments, SOI, ROM, as well as CCs and MCCs.· Address documentation gaps, inconsistencies, and areas requiring clarification through focused queries.· Analyze coding data to identify discrepancies, trends, and areas for improvement.· Ensure diagnoses critical for mortality and other risk models are documented as "POA.”
Subject Matter Expertise:· Serve as a key resource for inpatient coding, DRG assignments, and SOI assessments.· Work closely with coding teams to resolve discrepancies and enhance coding accuracy.Collaboration and Education:· Build strong partnerships with physicians, CDI specialists, and clinical teams to bridge documentation gaps.· Provide targeted education and training on documentation standards, compliance, and best practices.· Facilitate training sessions to enhance understanding of CDI processes and their impact on quality metrics and reimbursement.· Function as a liaison between clinical teams, coders, and revenue cycle management.
Compliance and Auditing:· Ensure all documentation adheres to regulatory standards, including CMS, Joint Commission, and other compliance requirements.· Participate in audits, evaluate findings, and recommend corrective actions, as needed.· Support organizational quality initiatives and contribute to performance improvement projects.---Qualifications and Skills
Required Credentials and Experience:· Certifications:
CDIP, CCDS, or CCS.· Experience: At least
7 years
in US healthcare with a focus on inpatient coding, CDI processes, or data quality audits, demonstrating strong expertise in ICD-10-CM/PCS coding and DRG assignments.· Advanced knowledge of US healthcare reimbursement methodologies, including MS-DRG and APR-DRG.· Familiarity with payer-specific policies, official coding guidelines, and regulatory standards (e.g., CMS, AHIMA).· Proficiency in EHR systems (e.g., Epic, Oracle-Cerner) and coding tools (e.g., 3M, Nuance, Optum).
Desired Skills:· Exceptional analytical skills to identify trends and resolve discrepancies in documentation and coding.· Outstanding interpersonal and communication abilities to foster collaboration and provide education.· Proven track record of delivering effective training sessions and analyzing CDI metrics such as query response rates and documentation improvements.· Up-to-date knowledge of regulatory changes and industry best practices in CDI.---Why Join Us?
This role offers a unique opportunity to make a meaningful impact on healthcare quality and reimbursement accuracy. Join a collaborative and supportive team committed to excellence in clinical documentation, compliance, and patient outcomes.Take the Next Step in Your CDI Career: Apply now and play a key role in shaping the future of clinical documentation integrity
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Hyderabad, Telangana, India Doctus Data Services Private Limited Full timeWe are seeking a seasoned and detail-oriented Inpatient CDI Specialist to join our team at Doctus Data Services Private Limited.This role is crucial in improving the accuracy of clinical documentation and aligning it with inpatient coding standards.The position emphasizes enhancing data quality, ensuring proper risk adjustment, and maintaining compliance to...
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Inpatient Clinical Documentation Integrity
6 days ago
Hyderabad, India Doctus Data Services Private Limited Full timeInpatient Clinical Documentation Integrity (CDI) Specialist (CDIP, CCDS, or CCS)About the Role: We are seeking a seasoned and detail-oriented Inpatient CDI Specialist to join our team. This role is crucial in improving the accuracy of clinical documentation and aligning it with inpatient coding standards. The position emphasizes enhancing data quality,...
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Inpatient Clinical Documentation Integrity
6 days ago
Hyderabad, India Doctus Data Services Private Limited Full timeInpatient Clinical Documentation Integrity (CDI) Specialist (CDIP, CCDS, or CCS)About the Role: We are seeking a seasoned and detail-oriented Inpatient CDI Specialist to join our team. This role is crucial in improving the accuracy of clinical documentation and aligning it with inpatient coding standards. The position emphasizes enhancing data quality,...
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Inpatient Clinical Documentation Integrity
6 days ago
Hyderabad, India Doctus Data Services Private Limited Full timeInpatient Clinical Documentation Integrity (CDI) Specialist (CDIP, CCDS, or CCS) About the Role: We are seeking a seasoned and detail-oriented Inpatient CDI Specialist to join our team. This role is crucial in improving the accuracy of clinical documentation and aligning it with inpatient coding standards. The position emphasizes enhancing data quality,...
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Hyderabad, Telangana, India Doctus Data Services Private Limited Full timeAs a seasoned Inpatient Clinical Documentation Integrity Specialist, you will play a pivotal role in enhancing data quality and ensuring compliance with regulatory standards at Doctus Data Services Private Limited.Key Responsibilities:Conduct comprehensive reviews of inpatient medical records to validate clinical documentation and ensure ICD-10-CM/PCS coding...
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Hyderabad, India Doctus Data Services Private Limited Full timeInpatient Clinical Documentation Integrity (CDI) Specialist (CDIP, CCDS, or CCS)About the Role:We are seeking a seasoned and detail-oriented Inpatient CDI Specialist to join our team. This role is crucial in improving the accuracy of clinical documentation and aligning it with inpatient coding standards. The position emphasizes enhancing data quality,...
-
hyderabad, India Doctus Data Services Private Limited Full timeInpatient Clinical Documentation Integrity (CDI) Specialist (CDIP, CCDS, or CCS)About the Role: We are seeking a seasoned and detail-oriented Inpatient CDI Specialist to join our team. This role is crucial in improving the accuracy of clinical documentation and aligning it with inpatient coding standards. The position emphasizes enhancing data quality,...
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Hyderabad, India Doctus Data Services Private Limited Full timeAbout the Role:We are seeking a highly skilled Inpatient Clinical Data Quality and Coding Specialist to join our team. This role is pivotal in ensuring accurate clinical documentation and coding for inpatient services, with a focus on data quality, risk adjustment, and compliance. If you have an eye for detail and a passion for improving patient care through...
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Hyderabad, India Doctus Data Services Private Limited Full timeAbout the Role:We are seeking a highly skilled Inpatient Clinical Data Quality and Coding Specialist to join our team. This role is pivotal in ensuring accurate clinical documentation and coding for inpatient services, with a focus on data quality, risk adjustment, and compliance. If you have an eye for detail and a passion for improving patient care through...
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Hyderabad, India Doctus Data Services Private Limited Full timeAbout the Role: We are seeking a highly skilled Inpatient Clinical Data Quality and Coding Specialist to join our team. This role is pivotal in ensuring accurate clinical documentation and coding for inpatient services, with a focus on data quality, risk adjustment, and compliance. If you have an eye for detail and a passion for improving patient care...
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Hyderabad, India Doctus Data Services Private Limited Full timeAbout the Role: We are seeking a highly skilled Inpatient Clinical Data Quality and Coding Specialist to join our team. This role is pivotal in ensuring accurate clinical documentation and coding for inpatient services, with a focus on data quality, risk adjustment, and compliance. If you have an eye for detail and a passion for improving patient care...
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Hyderabad, India Doctus Data Services Private Limited Full timeAbout the Role: We are seeking a highly skilled Inpatient Clinical Data Quality and Coding Specialist to join our team. This role is pivotal in ensuring accurate clinical documentation and coding for inpatient services, with a focus on data quality, risk adjustment, and compliance. If you have an eye for detail and a passion for improving patient care...
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Hyderabad, Telangana, India Doctus Data Services Private Limited Full timeClinical Documentation Improvement SpecialistDoctus Data Services Private Limited is seeking a skilled Clinical Documentation Improvement Specialist to join our team. In this role, you will play a vital part in ensuring the accuracy and completeness of clinical documentation.About the RoleWe are looking for an experienced professional with a strong...
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hyderabad, India Doctus Data Services Private Limited Full timeAbout the Role: We are seeking a highly skilled Inpatient Clinical Data Quality and Coding Specialist to join our team. This role is pivotal in ensuring accurate clinical documentation and coding for inpatient services, with a focus on data quality, risk adjustment, and compliance. If you have an eye for detail and a passion for improving patient care...
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hyderabad, India Doctus Data Services Private Limited Full timeAbout the Role: We are seeking a highly skilled Inpatient Clinical Data Quality and Coding Specialist to join our team. This role is pivotal in ensuring accurate clinical documentation and coding for inpatient services, with a focus on data quality, risk adjustment, and compliance. If you have an eye for detail and a passion for improving patient care...
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Clinical Documentation Improvement Specialist
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Hyderabad, India Doctus Data Services Private Limited Full timeClinical Documentation Improvement Specialist (CDIP, CCDS, CCS, CIC)Clinical Documentation Review:· Conduct thorough reviews of inpatient and outpatient medical records to ensure accurate and complete documentation.· Identify and address gaps, inconsistencies, or areas requiring clarification in clinical documentation.· Collaborate with providers to...
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Clinical Documentation Improvement Specialist
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Hyderabad, India Doctus Data Services Private Limited Full timeClinical Documentation Improvement Specialist (CDIP, CCDS, CCS, CIC)Clinical Documentation Review:· Conduct thorough reviews of inpatient and outpatient medical records to ensure accurate and complete documentation.· Identify and address gaps, inconsistencies, or areas requiring clarification in clinical documentation.· Collaborate with providers to...
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Clinical Documentation Improvement Specialist
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Hyderabad, India Doctus Data Services Private Limited Full timeClinical Documentation Improvement Specialist (CDIP, CCDS, CCS, CIC) Clinical Documentation Review: · Conduct thorough reviews of inpatient and outpatient medical records to ensure accurate and complete documentation. · Identify and address gaps, inconsistencies, or areas requiring clarification in clinical documentation. · Collaborate with...
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Clinical Data Quality and Coding Expert
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Hyderabad, Telangana, India Doctus Data Services Private Limited Full timeAbout the Role:We are seeking a highly skilled Clinical Data Quality and Coding Specialist to ensure accurate clinical documentation and coding for inpatient services. This role is pivotal in data quality, risk adjustment, and compliance.---Key Responsibilities:Clinical Documentation and Coding Accuracy:• Conduct comprehensive clinical documentation...
