Clinical Documentation Specialist, Audit Coordinator
Job Description:
• Provides onsite and remote clinical documentation integrity (CDI) support to the Health Ministry (HM) CDI programs
• Utilizes advanced coding and/or clinical expertise to improve clinical documentation
• Responsible for reviewing and/or auditing medical record clinical documentation to support medical necessity and accurate coding
• Audits HM CDSs for query compliance and missed documentation opportunities
• Trains end users in the use of CDI system software and workflow
• Conducts clinical documentation chart reviews and queries providers as appropriate
Requirements:
• Current Registered Nurse License or Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS)
• Certification as a Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Professional (CDIP) preferred
• Experience in Clinical Documentation Integrity
• Excellent communication (verbal and written), interpersonal, collaboration and relationship-building skills
• Strong critical thinking skills and ability to integrate knowledge
• Prioritization and organizational skills required
• Ability to educate all members of the healthcare team related to clinical documentation
• Experience with databases, spreadsheet software and presentation software preferred
Benefits:
• Health insurance
• Professional development opportunities
Apply tot his job
Apply To this Job
• Provides onsite and remote clinical documentation integrity (CDI) support to the Health Ministry (HM) CDI programs
• Utilizes advanced coding and/or clinical expertise to improve clinical documentation
• Responsible for reviewing and/or auditing medical record clinical documentation to support medical necessity and accurate coding
• Audits HM CDSs for query compliance and missed documentation opportunities
• Trains end users in the use of CDI system software and workflow
• Conducts clinical documentation chart reviews and queries providers as appropriate
Requirements:
• Current Registered Nurse License or Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS)
• Certification as a Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Professional (CDIP) preferred
• Experience in Clinical Documentation Integrity
• Excellent communication (verbal and written), interpersonal, collaboration and relationship-building skills
• Strong critical thinking skills and ability to integrate knowledge
• Prioritization and organizational skills required
• Ability to educate all members of the healthcare team related to clinical documentation
• Experience with databases, spreadsheet software and presentation software preferred
Benefits:
• Health insurance
• Professional development opportunities
Apply tot his job
Apply To this Job