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
...informed models that accelerate breakthroughs in logic, coding, and semiconductor design. If you thrive on pushing the envelope of research and translating cutting-edge ideas into production-grade systems, this is your stage. What you'll do Prototype and validate...
...Role Description This is a part-time, on-site role for a Cleaning Specialist at The Recording Club by Tiny Room Studios, located... ...role involves thorough commercial cleaning, kitchen cleaning, window cleaning, house cleaning, carpet maintenance, and executing our...
...helpful but not primary), Visual Studio, Azure DevOps for source control. Project Work: ~ Involvement in migration from CGI OMS to Oracle NMS, integration work, and support for a large number of existing Windows-based applications and some web applications...
Junior Graphic DesignerPRALINOR, a Belgium chocolate maker, is looking for a Graphic Designer based in Shanghai who understands packaging and the effects of visual identity on the brand experience. :- Create and update company marketing materials, brochures, Website, online...
...learn and grow within the estimating field. Education and Experience: Bachelor's degree in Construction Management, Engineering, or related field preferred. Entry-level position; previous internship or work experience in construction or estimating is a plus....