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Cuyahoga Falls

    Clinical Documentation Integrity Specialist - Cuyahoga Falls, United States - Western Reserve

    Western Reserve
    Western Reserve Cuyahoga Falls, United States

    2 weeks ago

    Default job background
    Description

    Completes concurrent and/or retrospective documentation reviews of the medical record to determine the clinical validation of the documented diagnoses and/or procedures. Supports Documentation Improvement Task Force efforts to educate and reinforce the use of CDI Guides/Evidence Based Diagnostic Criteria for chart integrity and accurate reimbursement. Ensures physician awareness of documentation guidelines in relation to coding guidelines that support appropriate reimbursement.

    Education and Training

    Required:

    • High School Diploma or equivalent
    • RHIA, RHIT, CDIP, CCDS, CCS, or RN Certification
    Preferred:
    • Associate in Health Information Management
    • Bachelors in Health Information Management
    • Graduate of an accredited school of nursing with a current license to practice in the State of Ohio or current multi state RN Licensure that is recognized by Ohio
    Experience
    • Five (5) years professional nursing experience which should include a combination of medical, specialty and/or surgical care in an acute care setting or three (3) years of inpatient coding experience in an acute care facility.
    • Proven CDI/DRG ability through work sample.


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