Clinical Documentation Specialist
2 weeks ago
The clinical documentation specialist works collaboratively with physician and coding staff to ensure that the documentation in the medical record accurately reflects the quality and level of care provided. The overall goal of the position is to improve clinical documentation for quality assurance and revenue compliance and integrity.
Scope & Impact: Through clinical validation queries emphasizing a reduction in reported hospital-acquired conditions and increasing clinical evidence in support of certain ICD-10 guidelines, the CDI specialist is responsible for generating revenue and positively impacting the overall operating budget of the organization.
Education
Education Type
Program of Study
Required/Preferred
High School Diploma
N/A
Required*
Associates Degree
Nursing
Required*
Bachelor's Degree
Nursing related field
Preferred*
Experience
Number of Years
Type of Experience
Required/Preferred
1 year
Clinical documentation improvement and/or clinical coding
Preferred*
3 years
Nursing experience acute care/hospital setting/case management
Preferred*
Certification & Licensures
- Un-encumbered Texas Registered Nurse License Required*
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