Posted 3 months ago
CLINICAL DOCUMENTATION SPECIALIST
AI Summary
The Clinical Documentation Specialist conducts concurrent and retrospective reviews of inpatient medical records to evaluate documentation quality and supports accurate, compliant reimbursement.
About this role
CLINICAL DOCUMENTATION SPECIALIST
Healthcare
CLINICAL DOCUMENTATION SPECIALIST
Birmingham, AL
Exp 2-5 yrs
Deg Bach
Relo
Bonus
Job Description
The RN Clinical Documentation Specialist conducts clinically based concurrent and retrospective reviews of inpatient medical records to evaluate the clinical documentation of acute care services. He/she works with minimum supervision and must be self-motivated and demonstrates excellent initiative. This individual works closely with physicians and medical staff to facilitate appropriate physician documentation of patient care. He or she will play a key role in reporting quality of care outcomes and in obtaining accurate and compliant reimbursement for acute care services. Previous CDI experience is highly desired. Case management experience is helpful. The selected candidate will be able to build a collaborative work environment with physicians, physician extenders, nurses, case managers and medical records coders.
SKILLS AND CERTIFICATIONS
Associate's Degree in Nursing. Bachelors or Masters in Nursing Preferred
Compentency in electronic clinical information systems
IDEAL CANDIDATE
The ideal candidate with be a Registered Nurse with previous Clinical Documentation Experience.
IDEAL CANDIDATE SHOULD HAVE WORKED FOR THE FOLLOWING COMPANY(IES):
Candidate must have worked in a Hospital Acute Care environment.
Additional Information
All your information will be kept confidential according to EEO guidelines.
Direct Staffing Inc
Skills
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