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
...Job Description Core Medical Locums is seeking a Nurse Practitioner Family Practice for a locum tenens job in Irvine, California. Job Description & Requirements ~ Specialty: Family Practice ~ Discipline: Nurse Practitioner ~ Start Date: ASAP ~ Duration...
...Job Description Job Description We only HIRE the BEST! Who We Are: We are a high-growth, high-performance plumbing and water treatment company with a relentless focus on serving and impacting our communities within the Southeast Michigan area. Our goal is to be...
...Singers , please be prepared to present your best 32 bars of music that showcase your talents. Have at least two songs in contrasting... .../ link that showcases your talents, along with your resume/ experience, to be considered for a position. Online submissions can be sent...
...instrumentation, operation of medical equipment, administer medications... ...(if applicable) and pain level. # Assure all needed Point... ...opening and closing procedures. # Assists with appointment scheduling... ...for this position: # Entry level position. #...
...Position Overview : The Stile Stylist is motivated and engaged in an effort to maintain/grow a customer base and hit personal and location... ...with the Store Manager if necessary. Ensures that all online and over-the-phone orders are fulfilled, properly packaged, and...