Clinical Documentation Specialist
On-site · Boca Raton, Florida, United States
Job Summary
The Clinical Documentation Specialist improves clinical documentation quality and completeness within the electronic health record through interaction with various healthcare staff. Responsibilities include facilitating documentation modifications, resolving discrepancies with coding, providing clinician training, and ensuring compliance with regulatory guidelines. The role requires strong knowledge in clinical documentation, an active RN license, and a Bachelor’s in Nursing, along with coding experience and excellent communication skills. Candidates must obtain relevant certifications within a year.
Required Qualifications
- Current registered nurse (RN) license
- Bachelor's Degree in Nursing
- 2 years of experience in acute care or health care administration
- Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Integrity Practitioner (CDIP) credential must be obtained within one year of hire
- Experience with ICD-10-CM/PCS coding and DRG assignment
- Outstanding oral, written and interpersonal skills
- Demonstrated knowledge and clinical experience relevant to clinical and regulatory aspects of care and reimbursement
Desired Qualifications
- CCDS or CDIP upon hire plus 2 years of clinical documentation improvement experience
Additional Requirements
- Candidates with disabilities or religious observances may receive reasonable accommodations
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