Clinical Documentation Integrity Specialist

A company is looking for a Clinical Documentation Integrity Specialist II.

Key Responsibilities

Conduct concurrent and retrospective reviews of inpatient and outpatient medical records to evaluate clinical documentation

Facilitate and obtain appropriate physician documentation to support the communication of patient care complexity

Assist in provider documentation initiatives and identify barriers and potential solutions

Required Qualifications

Clinical experience and knowledge of documentation and coding guidelines

Familiarity with CMS coding guidelines, MS-DRGs, APR-DRGs, HCCs, ICD-10-CM / PCS, and AMA CPT coding conventions

Proficiency in Epic, Solventum, and Excel

Ability to adapt and self-motivate by staying updated on CMS rules and regulations

Experience working under supervision and managing work within a defined scope