5 Jobs
Trajectory RCS is Hiring a Remote Clinical Documentation Improvement Specialist
- Collaborate with healthcare providers to accurately capture and document patient diagnoses in medical records.
- Review clinical documentation to ensure it reflects the severity of illness and risk of mortality.
- Educate and train providers on documentation best practices to support accurate coding and compliance.
- Work closely with providers to concurrently clarify clinical documentation queries and resolve discrepancies.
- Conduct concurrent audits on all inpatient admissions to assess documentation quality and identify areas for improvement.
- Stay updated on coding guidelines, regulations, and industry trends to ensure compliance.
- Provide support during coding and billing processes to ensure accurate reimbursement and revenue integrity.
- Communicate effectively with interdisciplinary teams to streamline documentation workflows and enhance efficiency.
- Candidates will have a minimum of three years’ progressive Clinical Documentation Improvement experience within a provider-based or outsource environment, with preference given to those coming from a fast paced, high growth company.
- A solid foundation will exist from a clinical background as a registered nurse, advanced nurse practitioner or a physician assistant.
- Strong understanding of medical terminology, disease processes, and clinical documentation requirements.
- Knowledge of coding guidelines (ICD-10-CM/PCS, CPT, HCPCS) and compliance regulations.
- Experience and success in a CDI role in both surgical and medical cases.
- Excellent communication and interpersonal skills to effectively collaborate with healthcare providers and coding staff.
- Detail-oriented with the ability to analyze complex medical records and identify documentation deficiencies.
- Proficiency in remote communication tools and electronic health record (EHR) systems.
- Ability to work independently and manage multiple priorities in a remote environment.
- Commitment to maintaining confidentiality and adhering to ethical standards in healthcare documentation.
- Commitment to ongoing professional development and continuous learning to stay abreast of industry trends and emerging best practices.
- Multilocation experience and the ability to thrive on complexity are necessary.
- Strong subject matter expertise in Cerner is an enhancement to candidacy.
- Demonstrated skills will be reflective of the MedHQ and Trajectory RCS values, empowering others, leading by example, and a consistent willingness to roll up one’s sleeves.
- Excellent verbal, written, and listening communication skills and experience.
- Candidates will be perceived as credible, experienced professionals who can inspire confidence and trust.
- Bachelor of Science in Nursing BSN, RN Degree, Advanced Nurse Practitioner, Physician Assistant, PA
- CDIS certification strongly preferred
Job Summary
Full Time
$58k-74k (estimate)
05/13/2024
08/07/2024
The job skills required for Clinical Documentation Improvement Specialist include Initiative, Professional Development, Communicates Effectively, Innovation, etc. Having related job skills and expertise will give you an advantage when applying to be a Clinical Documentation Improvement Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Clinical Documentation Improvement Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Clinical Documentation Improvement Specialist positions, which can be used as a reference in future career path planning. As a Clinical Documentation Improvement Specialist, it can be promoted into senior positions as a Clinical Research Coordinator that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Clinical Documentation Improvement Specialist. You can explore the career advancement for a Clinical Documentation Improvement Specialist below and select your interested title to get hiring information.
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