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
...is to participate to the design and implementation of complex industrial automation solutions using different technologies and platforms... ...and other manufacturing industries. As an Automation Engineer, you will apply your diverse knowledge of engineering principles...
...Finance & Operations Assistant Floowi connects top LATAM professionals with leading U.S. companies through remote talent solutions. Our mission is to make LATAM the worlds premier hub for growth and excellence Short Description: Were looking for a highly organized...
...Heartland (BGCH) is open, and we are looking for our next Chief Executive Officer to make a positive impact on kids lives. Were seeking candidates... ...constructive dialogue, and achieve aligned outcomes among diverse stakeholders. Advanced knowledge and expertise in asset...
Key Responsibilities Prepare and process prescription orders by verifying order details and selecting the correct medications from inventory Label, scan, assemble, and stage prescription orders accurately and efficiently Monitor and communicate inventory needs...
...competent and anti-racist lens, and respect the dignity and legitimacy of each individuals journey. POSITION OVERVIEW: The Social Worker is responsible for supplying necessary clinical intervention within the realm of the program. Provide cultural competent and...