Clinical Doc Integrity Spec, RN
About The Position
The Clinical Documentation Integrity Specialist maintains accurate, complete, and concise clinical documentation to support improvement and integrity of the healthcare system. The specialist serves as a resource to physicians and other healthcare team members on DRGs, SOI/ROM, ICD-10-CM/PCS, HCCs, APCs, and CPT information. The role requires knowledge of AHIMA guidelines and compliance and regulatory agency expectations for compliant queries. The specialist communicates with the coding team, senior coding team, and other departments regarding documentation clarification and accurate coding. WakeMed Health & Hospitals has served the community since 1961 and is a leading provider of health services in Wake County. Its mission is to improve the health and well-being of the community through outstanding and compassionate care.
Requirements
- Registered Nurse licensure.
- Bachelor's degree in Nursing.
- Two years of clinical acute care experience or inpatient coding experience, or one year of Diagnosis-Related Group analysis experience.
- Two years of clinical cardiology or critical care (ICU/CCU) experience.
Responsibilities
- Maintain accurate, complete, and concise clinical documentation.
- Serve as a resource to physicians and other healthcare team members on DRGs, SOI/ROM, ICD-10-CM/PCS, HCCs, APCs, and CPT information.
- Apply knowledge of AHIMA guidelines and compliance and regulatory agency expectations for compliant queries.
- Communicate with coding teams and other departments regarding documentation clarification and accurate coding.
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What This Job Offers
Job Type
Full-time
