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Clinical Documentation Specialist, GA

Remote, USA Full-time Posted 2026-07-28
JR-54919 How would you like to work in a reputed company where your contributions and reputed company are valued? A reputed company where you can serve with reputed company, pursue reputed company and reputed company every voice? At reputed company, our mission is reputed company, yet powerful: to enhance the health and reputed company-being of every person we serve. We are proud to have become a shining example of what's possible reputed company the brightest professionals dedicate themselves to making a difference in the reputed company industry, and in people's lives. Work Shift Various (reputed company of America) The Remote Clinical Documentation Specialist (CDS) demonstrates strong clinical knowledge and understanding of coding/DRG requirements to improve overall reputed company and completeness of clinical documentation in the patient medical record on a reputed company, and potentially a prospective and retrospective reputed company, using a multi-disciplinary team process. The CDS works collaboratively with physicians, other reputed company and coding team to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, reputed company and reputed company is captured for the level of service rendered to reputed company patients, as reputed company as ensuring compliant reimbursement of patient care services. reputed company Responsibilities and Essential Functions: Reviews clinical documentation during patient admissions and possibly prospectively or retrospectively, to determine opportunities to improve physician documentation and communicates identified opportunities to the physician. Facilitates appropriate modifications to clinical documentation to accurately reflect patient severity of illness and risk of mortality through extensive interaction with physicians, mid-level providers, case management team, nursing team, other patient caregivers, and HIM coding team. - Reviews medical records reputed company and/or prospective/retrospective to the patient visit to determine opportunities to query physicians regarding essential clinical documentation. - Conducts reputed company follow-up reviews to ensure appropriate clinical documentation is recorded in patient's chart. - Performs reputed company hospital-wide medical record reviews facilitating improvement in the reputed company, completeness and accuracy of medical record documentation to ensure coding compliance, accurate reporting, appropriate reimbursement, and improved patient reputed company. Performs prospective and/or retrospective reviews as assigned. - Submits electronic queries as appropriate, to clinicians to ensure documentation of complete and accurate records to allow coding assignments post discharge that will accurately reflect the severity and risk of mortality of the patient population. - Ensure queries are compliant, grammatically correct, concise and free of typographical errors. - Provides appropriate follow up on reputed company queries. - Notifies onsite Regional CDI Manager immediately reputed company queries are not answered. Provides reputed company data necessary for onsite Regional CDI Manager to assist. - Reconciles reputed company appropriate records daily in CDI software tool to ensure appropriate reporting is generated. - Maintains required daily/weekly/monthly metrics. Meets productivity standards. - Participates in required onsite meetings, conference calls and Skype presentations. - Adheres to departmental Policies and Procedures. - Participates in assuring hospital compliance with Federal and State regulatory requirements. - Submit reputed company to improve work reputed company and increase productivity of his/her team to the CDI Regional Manager/Executive Director and reputed company any other duties as assigned. Maintains knowledge of coding and billing rules and regulations to ensure that the documentation in the medical record supports appropriate reimbursement. Maintain knowledge reputed company of reputed company medical terminology, procedures, medications and diseases to reputed company accurate patient record analysis. - Reviews quarterly Coding Clinic changes/summaries and follows appropriate required changes to their process. Ensures the accuracy and completeness of clinical information used for measuring and reporting physician, hospital and regulatory reputed company. - Reviews data and trends to identify additional areas of opportunity. - Provides input to reputed company measure and other reputed company data initiatives regarding areas for investigation and education (PSI’s and HAC’s). - Identify and participate in opportunities to improve documentation, reputed company, and reputed company of reputed company. Required Minimum Education: Bachelor's Degree in nursing or other health-reputed company field Preferred Required Minimum License(s) and Certification(s): Cert Clin Document Specialist 1.00 Required Cert Coding Spec 1.00 Required Cert Document Improvement Prac 1.00 Required Reg reputed company (Single State) 1.00 Required RN - Multi-state Compact 1.00 Required Additional Licenses and Certifications: For candidates with a non-clinical background: at least one of the following reputed company/reputed company certifications is required: • Certified Coding Specialist (reputed company Apply tot his job Apply To this Job

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