Healthcare Professional
2 days ago
Unlock your career potential as a skilled healthcare professional with this exciting opportunity
We are seeking a highly motivated and detail-oriented individual to join our team as a Clinical Documentation Improvement Specialist.
In this role, you will be responsible for conducting concurrent and retrospective reviews of medical records to identify areas for improvement.
You will analyze documentation to determine principal diagnosis, comorbidities and complications, and ensure that clinical documentation accurately reflects patient outcomes.
To succeed in this position, you will need strong knowledge of medical terminology, anatomy and physiology, and disease processes.
You should also have experience working with electronic health record systems and possess relevant clinical or coding certifications.
A bachelor's degree in a related field is preferred, but not required.
If you are passionate about delivering high-quality patient care and improving healthcare outcomes, we encourage you to apply for this challenging and rewarding role.
Key Responsibilities:- Conduct concurrent and retrospective reviews of inpatient and outpatient medical records
- Analyze documentation to determine principal diagnosis, comorbidities and complications
- Evaluate accuracy and completeness of clinical documentation
- Registered Nurse (RN), Certified Coding Specialist (CCS) or other relevant clinical or coding certification required
- Bachelor's degree in science, Nursing, Health Information Management or related field preferred
- Minimum 5-7 years of experience in clinical documentation improvement, coding or related healthcare field
- Strong knowledge of medical terminology, anatomy and physiology and disease processes
- Experience working with electronic health record (EHR) systems
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