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
...Position Overview We are seeking an experienced Senior Estimator to join our team. The ideal candidate will possess a strong background in public works projects and demonstrate expertise in cost estimation for various construction activities. This role is crucial for...
...Creates quarterly L&D Newsletter. Updates compliance poster board at all locations (including providing electronic copies to remote employees), administers PosterGuard account. Controls CPeOs daily/monthly schedule. Creates agenda, takes minutes, and participates...
...company has designed and produced systems that provide energy and air conditioning to aircraft while parked on the ground, supporting airports and airlines in significantly reducing their carbon footprint. Family-owned and mid-sized, the company combines international...
...employer of choice in South Jersey. Short Description The UHI Navigator is a vital member of the healthcare team, dedicated to... ...address barriers to care. Escalate clinical questions to office nurses or Director of Clinical Practice. Performs all related duties...
...Akkodis is seeking an Associate Network Construction Manager for a 12-Months Contract position with a client located in Edison, NJ Pay Range: $30/hr. - $39/hr. (The rate may be negotiable based on experience, education, geographic location, and other factors.) Job...