Clinical Documentation Integrity Specialist

WakeMed Health & Hospitals • Raleigh, NC

1d • Remote

About The Position

The Clinical Documentation Integrity Specialist is responsible for maintaining accurate, complete, concise documentation for improvement and integrity of the healthcare system. Serves as a resource to physicians and other members of the healthcare team in matters relating to DRGs, SOI/ROM, ICD-10 CM/ PCS, HCCs, APCs, and CPT information. Maintains a level of knowledge and understanding of AHIMA guidelines and knowledge of compliance and regulatory agency expectations of compliant queries. Communicates with coding team, senior coding team and outside departments regarding documentation clarification and accurate coding. Eligible remote states include NC, FL, GA, SC, SD, TN, TX and VA. Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org. EOE

Requirements

• Associate's Degree Required
• 2 Years Clinical - Acute Care Or Coding - Inpatient Or Diagnosis-Related Group Analysis Required

Nice To Haves

• Licensed Physician Assistant Preferred
• Registered Health Information Administrator Preferred
• Registered Health Information Technician Preferred
• Certified Documentation Improvement Practitioner Preferred
• Certified Coding Specialist Preferred
• Certified Clinical Documentation Specialist Preferred
• Bachelor's Degree Preferred
• Master's Degree Physician Assistant Preferred
• 2 Years Clinical - Cardiology Or Clinical - Critical Care (ICU/CCU) Preferred

Responsibilities

• Maintaining accurate, complete, concise documentation for improvement and integrity of the healthcare system.
• Serving as a resource to physicians and other members of the healthcare team in matters relating to DRGs, SOI/ROM, ICD-10 CM/ PCS, HCCs, APCs, and CPT information.
• Maintaining a level of knowledge and understanding of AHIMA guidelines and knowledge of compliance and regulatory agency expectations of compliant queries.
• Communicating with coding team, senior coding team and outside departments regarding documentation clarification and accurate coding.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree