Note: The job is a remote job and is open to candidates in USA. Clarity Partners is a recognized leader in healthcare staffing, and they are seeking a Clinical Documentation Specialist to support an engagement with Cook County Health. The role involves improving the quality of clinical documentation and ensuring appropriate coding and billing through collaboration with healthcare professionals.
Responsibilities
- Facilitate necessary documentation in the medical record through extensive interaction with physicians, HIM, and coding staff to ensure the most appropriate reimbursement and highest level of SOI/ROM is achieved for the level of service rendered to all patients
- Educate physicians regarding clinical documentation needs, changes to clinical documentation guidelines, and coding and reimbursement opportunities on an ongoing basis
- Apply knowledge of medical terminology and procedures to evaluate clinical documents for documentation and reimbursement opportunities
- Perform acute care (inpatient) medical record monitoring (concurrent) of diagnoses, treatments, and follow-up entries in medical records to validate the accuracy of patient medical record documentation and diagnoses, obtaining missing information via a query when necessary
Skills
- 1 year of Acute Care (inpatient) Concurrent Clinical Documentation Specialist experience required
- CCDS (Certified Clinical Documentation Specialist — ACDIS) or CDIP (Certified Documentation Practitioner — AHIMA) credential required
- Experience with concurrent inpatient facility coding/clinical documentation improvement required
- Experience with acute care (inpatient) medical record review (concurrent) of diagnoses, treatments, and follow-up entries in medical records to validate the accuracy of patient medical record documentation, obtaining missing information via a query when necessary, so accounts can be coded and billed appropriately for the services provided
- License to practice as a Registered Nurse preferred (any state)
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