Clinical Documentation Specialist - Quality Reviewer

October 25

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Description

• Review documentation in the electronic medical record (EMR) • Ensure accurate assignment of ICD-10-CM diagnosis codes • Capture encounter-specific diagnoses and procedures for accurate reporting • Collaborate with multidisciplinary teams to optimize documentation accuracy • Assign working DRGs and ensure accurate POA assignment • Identify trends for educational training development • Uphold compliance with coding standards • Validate accuracy of codes assigned by computer coding software

Requirements

• Bachelor’s degree in a related field • Certification as CCS, RHIT, RHIA, or CIC highly desired • Minimum 5 years coding experience in inpatient hospital setting • ICD-10-CM/PCS medical coding experience required • Strong knowledge of anatomy, medical terminology, and disease processes • Advanced technical skills for MS Office (Excel, Word, Outlook, PowerPoint) • Experience with CAC required • Understanding of HIPAA • Commitment to University policies and procedures • Ability to work independently and in a collaborative environment • Strong communication skills • Strong organizational and analytical skills • Critical thinking skills and ability to interpret documentation.

Benefits

• Competitive salaries • Medical insurance • Dental insurance • Tuition remission • And more.

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