Clinical Documentation Specialist
2 days ago
Global Force USA is seeking a skilled Clinical Documentation Specialist to join our team.
Estimated Salary: $65,000 - $80,000 per year
About the JobWe are looking for a highly motivated and detail-oriented individual to improve the quality and completeness of clinical documentation. As a Clinical Documentation Specialist, you will facilitate modifications to clinical documentation through extensive interactions with physicians, nursing staff, and other members of the healthcare team to ensure accurate reimbursement and clinical severity capture.
The ideal candidate will have experience in clinical documentation improvement and a strong understanding of Medicare reimbursement systems, coding structures, and hospital policies and procedures.
Responsibilities- Improve the quality and completeness of clinical documentation
- Facilitate modifications to clinical documentation through interactions with healthcare teams
- Ensure accurate reimbursement and clinical severity capture
To be successful in this role, you will need:
- Option 1: Graduation from an accredited school of nursing and five years of clinical nursing experience and three years of clinical documentation improvement experience
- Option 2: Physician graduate International MD with 5 years of acute care experience and 1-year Clinical Documentation Improvement (CDI) experience
- Option 3: Equivalent to a Bachelor's degree in Health Information Management or Health Information Technology and four years of professional coding and abstracting medical records in an acute care hospital
You will also need one of the following certifications:
- Certified Clinical Documentation Specialist (CCDS)
- Certified Clinical Documentation Specialist-Outpatient (CCDS-O)
- Certified Document Improvement Practitioner (CDIP)
You will need:
- Strong knowledge of Medicare reimbursement systems and coding structures
- Excellent communication and interpersonal skills
- Ability to work effectively under pressure
This is a full-time position that may require working shifts and weekends. We offer a competitive salary and benefits package.
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