Clinical Documentation Improvement Specialist

Position Summary:

• Responsible for facilitating improvement in quality and completeness of clinical documentation.
• Works with treating providers to ensure accurate reflection of DRG, severity, and complexity.

Core Functions:

• Reviews medical records and assists in clarification of documentation ambiguities.
• Conducts concurrent record reviews and formulates compliant queries.
• Educates customers through presentations and reports.

Qualifications:

• 2-4 years hospital acute-care or relevant clinical experience.
• Registered nurse with active licensure or foreign medical graduate with MD.
• Preferred: CCDS, CDIP, CCS, or CPC certification.