Clinical Documentation Specialist 2

1 day ago


Miami, Florida, United States University of Miami Full time
Job Summary

We are seeking a highly skilled Clinical Documentation Specialist to join our team at the University of Miami. As a key member of our healthcare team, you will be responsible for ensuring the accuracy and completeness of patient medical records.

Key Responsibilities
  • Assign and sequence ICD-10 codes to inpatient medical records in accordance with national coding guidelines.
  • Collaborate with providers, CDIs, coders, and quality teams to optimize accuracy of documentation.
  • Validate the accuracy of codes assigned by computer-assisted coding software.
  • Abstract relevant information accurately and completely into the computer-assisted coding application.
  • Communicate professionally identified discrepancies and documentation issues to the appropriate department and/or leader.
  • Stay up to date with regulatory changes by completing all mandatory educational accountabilities in a timely manner.
  • Maintain coding quality and productivity as per departmental standards.
Requirements
  • Bachelor's degree in a related field such as Business Administration, Health Care Administration, or Health Information Management.
  • Minimum 5 years of coding experience in an inpatient hospital setting.
  • Strong knowledge of anatomy and physiology, medical terminology, and disease processes.
  • Advanced technical skills for use of MS Office (Excel, Word, Outlook, and PowerPoint).
  • Experience with computer-assisted coding software.
What We Offer

The University of Miami offers a competitive salary and a comprehensive benefits package, including medical, dental, tuition remission, and more.

As a member of our team, you will have the opportunity to work in a dynamic and collaborative environment, with access to cutting-edge technology and resources.

We are committed to providing a safe and inclusive work environment, and we are proud to be an equal opportunity employer.


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