Clinical Documentation Improvement Specialist
2 months ago
Join our Team NMC Health offers a family friendly environment with the latest technology and a knowledgeable staff. Here you'll find all departments work together as a team to live out our core values: respect, excellence, service, transparency, and trust.
This position reports to the Health Information Management (HIM), Manager.
This position is hourly (non-exempt).
Position Summary:
- This position must feel comfortable interacting with physicians and case managers
- Must be competent in diagnosis coding rules and able to identify clinical criteria to help validate diagnoses
- Must be able to assist providers with documenting to the highest level of specificity in medical record
- Must be able to query the provider when there is a conflict or inconsistency between clinical criteria and physician documentation
- Help provider appeal denials concurrently through peer-to-peer or written appeal
- This is not a remote position
QUALIFICATIONS:
Education and Experience:
- Licensed RN or LPN with 5 years experience and certified coder
Knowledge and Skills:
- Clinical coding with certification
- Excellent oral and written communication
Licensure, registration and certification:
- RN or LPN
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