Clinical Documentation Specialist Qualifications
• Must have at least one of the following:
o License to practice as a Registered Nurse preferred (any state)
o Credentialed as a RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician) or CCS (Certified Coding Specialist)
• Must have all of the following:
o 3+ years Acute Care (inpatient) and Concurrent Clinical Documentation Specialist experience
o CCDS (Certified Clinical Documentation Specialist - ACDIS) or CDIP (Certified Documentation Practitioner - AHIMA) credential required
Under limited direction and according to clinical documentation guidelines and established policies/procedures, responsible for improving the overall quality and completeness of clinical documentation in the legal medical record.
• Facilitates necessary documentation in the medical record through extensive interaction with physicians, HIM and coding staff to ensure the most appropriate reimbursement and and highest level of SOI/ROM is achieved for the level of service rendered to all patients
• Educates physicians regarding clinical documentation needs, changes to clinical documentation guidelines and coding and reimbursement opportunities on an on-going basis
• Applies knowledge of medical terminology and procedures to evaluate clinical documents for documentation and reimbursement opportunities
• Acute Care (inpatient) medical record monitoring (concurrent) of diagnoses, treatments, and follow-up entries in medical records to validate the accuracy of patient medical record documentation and diagnoses – obtaining missing information via a query when necessary
**Job Description:**The Patient Safety Attendant (PSA) participates in high-quality, patient-centered care by providing continuous observation and monitoring for high-risk patients. In collaboration with the patient care team, the PSA ensures the patient environment is...
Source of students: high school Arrival time: August Working hours: Monday to Friday 07:30-16:30
...Job Title CNC Machinist / Machine Operator Company Description ENGRV International is an innovative manufacturer specializing in precision CNC machining, custom engraving, and advanced stone and metal fabrication. Based in Orlando, Florida, we combine cutting...
...Overview: We are seeking two experienced Construction Managers (CMs) to join our team for a mission-critical project. These full-time roles require individuals who are proactive, technically skilled, and highly engaged with on-site construction activity. Candidates must...
...: $45/hr The School Registered Nurse oversees the application of the nursing... ...plays an essential role in promoting the health and safety, responding to medical emergencies... ...Staffing, has served our clients and communities by connecting people to the work that...