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
...Southern California. Sol-Up is more than Las Vegass premier provider of solar and battery storage systems including solar panels, Tesla Powerwall, and solar installation of solar systems. Sol-Up also offers Tesla Energy Tesla Solar Inverters and Tesla Powerwall 2,...
...Malone Healthcare - Nursing is seeking a travel nurse RN NICU - Neonatal Intensive Care for a travel nursing job in Englewood, Colorado. Job Description & Requirements ~ Specialty: NICU - Neonatal Intensive Care ~ Discipline: RN ~ Start Date: 11/10/2025~ Duration...
...-changers. And with your help, we will continue to set the standards of excellence and revolutionize the grocery industry. As a Bakery Decorator, you'll be responsible for all duties related to creating and decorating cakes, tarts, pastries, and special-order items....
...Cowboys Photographer, Videographer, & Jr. UAS Pilot (Drone Pilot) - Blended Role Security Systems Field and Service Engineer NASA Spacecraft Pyrotechnics Systems Engineer Houston, TX $90,300.00-$189,600.00 3 weeks ago Hypergolic Propulsion Engineer - Space...
...calculated risks and pushing the envelope as well as swiftly pivoting and iterating when faced with failure. Senior Full Stack Python/FastApi/React Engineer TL/DR: You are an Engineer skilled in Full Stack development. And even better you've worked with Python...