Clinical Documentation Improvement Specialist

This is a fully remote position, open to applicants in Arizona, +9 more states.

📋 Description

• Perform simultaneous evaluations of inpatient medical records to improve the quality, precision, and thoroughness of documentation.

• Ensure accurate code assignment that corresponds with the patient's clinical condition and the care rendered.

• Work collaboratively with providers through education and the physician query process to bolster severity of illness, quality metrics, and adherence to regulations.

• Maintain proficiency in coding principles, government regulations, and third-party requirements while acting as a resource for clinicians, coders, and Revenue Cycle teams.

⛳️ Requirements

• Bachelor's degree in Nursing (RN) along with current Registered Nurse (RN) licensure;

• OR a graduate of an accredited or equivalent international medical program or advanced medical program (MD, DO, NP, MBBS, or equivalent);

• OR a minimum of ten (10) years of experience in Clinical Documentation Improvement (CDI) within an acute care environment.

• At least one of the following CDI or coding credentials/certifications: Certified Coding Specialist (CCS), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT).

• Three (3) years of experience in one of the following areas: Medical/Surgical or Critical Care nursing.

🏝️ Benefits

• Health insurance

• 401(k) matching

• Flexible work hours

• Paid time off

• Professional development opportunities