Clinical Documentation Specialist - Full Time - Remote
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About The Position
The Clinical Documentation Integrity Specialist (CDIS) performs clinically based health record reviews to facilitate and obtain appropriate provider documentation for clinical conditions and procedures to reflect severity of illness, accurate coding/DRG, expected risk of mortality, accuracy of patient outcomes, and complexity of patient care. Through compliant query processes and education, clarifies incomplete, conflicting, ambiguous, and/or missing provider documentation. The CDIS 1 works in collaboration with other CDI Specialists, coders, quality analysts, providers, and other members of the healthcare team to ensure accurate, high-quality clinical documentation to support UHealth initiatives. Adheres to departmental and organizational goals, objectives, standards of performance, policies and procedures, continually ensuring quality documentation and regulatory compliance.
