About The Position

The Clinical Documentation Improvement Specialist will work with physicians to facilitate appropriate clinical documentation to ensure that the level of services and acuity of care are accurately reflected in the medical record. Conducts follow-up reviews to ensure that clinical documentation clarified with the physician has been recorded in the medical record, and has been coded by the hospital HIM Coding staff.

Requirements

  • Work with physicians to facilitate appropriate clinical documentation.
  • Ensure the level of services and acuity of care are accurately reflected in the medical record.
  • Conduct follow-up reviews to ensure clinical documentation has been recorded and coded.

Responsibilities

  • Facilitate appropriate clinical documentation to ensure that the level of services and acuity of care are accurately reflected in the medical record.
  • Conduct follow-up reviews to ensure that clinical documentation clarified with the physician has been recorded in the medical record, and has been coded by the hospital HIM Coding staff.
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