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Clinical Documentation Specialist
Clinical Documentation SpecialistVirtualVocations • Garland, Texas, United States
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Clinical Documentation Specialist

Clinical Documentation Specialist

VirtualVocations • Garland, Texas, United States
7 days ago
Job type
  • Full-time
Job description

A company is looking for a Clinical Documentation Improvement Specialist (Remote).

Key Responsibilities

Examine medical records for accuracy and completeness, ensuring they reflect the patient's clinical status

Detect and address inconsistencies or missing information in documentation, collaborating with providers as needed

Provide guidance and education on documentation best practices to improve overall documentation quality

Required Qualifications and Education

Doctor of Medicine (MD), Doctor of Osteopathy (DO), Foreign Medical Graduate (FMG), Registered Nurse (RN), Pharmacist, or Doctor of Physical Therapy

RHIA, RHIT, or a related clinical / allied health degree

Minimum of 5 years of inpatient clinical experience

2+ years of experience in clinical documentation, coding, or acute-care clinical roles

CCDS (Certified Clinical Documentation Specialist), CDIP (Clinical Documentation Improvement Practitioner), or equivalent required within 90 days

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Clinical Documentation Specialist • Garland, Texas, United States

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