Clinical Documentation Specialist - United States

Only for registered members United States

2 days ago

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Job summary

The Clinical Documentation Improvement Specialist performs patient record reviews concurrently and retrospectively to determine complete, accurate and timely documentation of all conditions that support hospitalization and treatment of the patient.

Responsibilities

  • Presents queries to physicians when needed to clarify ambiguous or incomplete documentation.
  • The Clinical Documentation Improvement Specialist validates the assigned working Diagnosis Related Group (DRG) to support the operations of Utilization Review and Care Coordination functions.

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