Note: The job is a remote job and is open to candidates in USA. WakeMed Health & Hospitals is a healthcare provider committed to improving the health and well-being of its community. The Clinical Documentation Integrity Specialist maintains accurate and compliant clinical documentation, supports documentation clarification and coding accuracy, and serves as a resource on clinical coding and reimbursement systems. The role collaborates with physicians, coding teams, and other departments regarding documentation and regulatory requirements.
Responsibilities
- The Clinical Documentation Integrity Specialist is responsible for maintaining accurate, complete, concise documentation for improvement and integrity of the healthcare system
- Serves as a resource to physicians and other members of the healthcare team in matters relating to DRGs, SOI/ROM, ICD-10 CM/ PCS, HCCs, APCs, and CPT information
- Maintains a level of knowledge and understanding of AHIMA guidelines and knowledge of compliance and regulatory agency expectations of compliant queries
- Communicates with coding team, senior coding team and outside departments regarding documentation clarification and accurate coding
Skills
- Associate's Degree Required
- 2 Years Clinical - Acute Care Or Coding - Inpatient Or Diagnosis-Related Group Analysis Required
- Licensed Physician Assistant Preferred
- Registered Health Information Administrator Preferred
- Registered Health Information Technician Preferred
- Certified Documentation Improvement Practitioner Preferred
- Certified Coding Specialist Preferred
- Certified Clinical Documentation Specialist Preferred
- Bachelor's Degree Preferred
- Master's Degree Physician Assistant Preferred
- 2 Years Clinical - Cardiology Or Clinical - Critical Care (ICU/CCU) Preferred
Benefits
- Eligible for remote work in NC, FL, GA, SC, SD, TN, TX and VA
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