Lead Clinical Documentation Improvement Specialist; REMOTE
Position: Lead Clinical Documentation Improvement Specialist (REMOTE)
Employer Industry: Healthcare Services
Why consider this job opportunity:
• Opportunity for career advancement and growth within the organization
• Work remotely with a flexible schedule
• Supportive and collaborative work environment
• Chance to make a positive impact on healthcare provider documentation integrity
• Competitive salary and benefits package
What to Expect (Job Responsibilities):
• Perform concurrent and retrospective reviews to identify opportunities for improving medical record documentation quality
• Complete audits to assess query compliance, coding accuracy, and provider education needs
• Develop and provide education to ensure competency and compliance within the CDI department
• Function as a liaison between the CDI department, coding, quality, compliance, clinical providers, and organizational leadership
• Participate in interdisciplinary work groups as a subject matter expert to achieve desired outcomes
What is Required (Qualifications):
• Bachelor’s degree in nursing and an active RN license
• Minimum of 6 years of relevant experience; 6-10 years preferred
• CCDS (Certified Clinical Documentation Specialist) or CDIP (Certified Documentation Improvement Practitioner) certification
• Knowledge and experience in medical information, coding applications, and electronic spreadsheets
• Excellent communication and team collaboration skills
How to Stand Out (Preferred Qualifications):
• Experience in Clinical Documentation Integrity Auditing/Education
• Proficiency in ICD-10-CM/PCS coding and AHA Coding Clinic
• Ability to work independently and manage multiple tasks effectively
• Familiarity with payer compliance and quality metrics
• Active involvement in quality assurance and process improvement initiatives
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