Clinical Documentation Improvement Specialist

Cape Cod Healthcare
Any Location, MA
Category Healthcare
Job Description
Role Overview

The CDIS is responsible for reviewing medical records to facilitate the accurate representation of the severity of illness by improving the quality of the physicians’ clinical documentation.

What You Will Do

Conduct Risk Adjustment Reviews, review clinical indicators, obtain clinical documentation, educate physicians and staff, and generate status reports.

Why It Might Be a Fit

The ideal candidate will have knowledge of clinical documentation guidelines, CDI program implementation experience, and certifications such as CPC, CCDS, or CDIP.

Requirements

  • Associate’s Degree in a relevant field
  • Certified Professional Coder (CPC) certification
  • Knowledge of disease process, medical terminology, ICD-10-CM and CPT codes
  • Knowledge of ICD-10 principles and further documentation specificity
  • CCDS or CDIP in an active status with AHIMA or ACDIS
  • Excellent organizational, analytical, writing and interpersonal skills
  • Dependable and self-directed
  • Critical thinking, problem solving and deductive reasoning skills
  • Proficient computer skills – familiarity with Windows based software programs
  • Knowledge of Medicare Part A and Part B
  • Knowledge of regulatory environment
  • Strong interpersonal and negotiation skills
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