Clinical Documentation Improvement Specialist (Remote)
Why V3 Group:
Grow your career. Advance in your field. Earn more. Find the latest healthcare jobs that fit your unique qualifications, experience, and skills!
Job Summary
-
The Clinical Documentation Specialist communicates with providers, case managers, coders, and other healthcare team members to facilitate comprehensive medical record documentation to reflect clinical treatment, decisions, and diagnoses for inpatients/residents.
-
The CDS utilizes the hospital's designated clinical documentation system to identify opportunities for physician and hospital outcomes, provides or coordinates education to all internal customers related to compliance, coding, and clinical documentation issues and acts as a consultant to coders when additional information or documentation is needed to assign the correct diagnosis related group (DRG).
-
Responsible for the day-to-day evaluation of documentation by the medical staff and healthcare team, and gathers and analyzes information pertinent to documentation findings and outcomes.
-
Maintains working knowledge of DRGs and understanding of medical necessity process. Knowledgeable of federal, state, and other payers' regulations, requirements, and criteria.
Qualifications
-
Bachelor s degree in nursing required. Graduate from a nationally accredited nursing program preferred.
-
CCDS certification required.
-
Three years of recent clinical nursing experience required. Experience in case management, utilization management, and/or coding preferred.
-
Currently holds an unencumbered RN license.