[Remote] Clinical Documentation Specialist - Remote (Must have CCDS OR CDIP)

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Note: The job is a remote job and is open to candidates in USA. Revolution Technologies is seeking a Clinical Documentation Specialist to improve the quality and completeness of clinical documentation in medical records. The role involves facilitating necessary documentation through interaction with physicians and coding staff, educating on clinical documentation needs, and monitoring medical records for accuracy.


Responsibilities

  • Facilitates necessary documentation in the medical record through extensive interaction with physicians, HIM and coding staff to ensure the most appropriate reimbursement and and highest level of SOI/ROM is achieved for the level of service rendered to all patients
  • Educates physicians regarding clinical documentation needs, changes to clinical documentation guidelines and coding and reimbursement opportunities on an on-going basis
  • Applies knowledge of medical terminology and procedures to evaluate clinical documents for documentation and reimbursement opportunities
  • Acute Care (inpatient) medical record monitoring (concurrent) of diagnoses, treatments, and follow-up entries in medical records to validate the accuracy of patient medical record documentation and diagnoses – obtaining missing information via a query when necessary

Skills

  • Must have at least one of the following: License to practice as a Registered Nurse preferred (any state)
  • Must have at least one of the following: Credentialed as a RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician) or CCS (Certified Coding Specialist)
  • Must have all of the following: 3+ years Acute Care (inpatient) and Concurrent Clinical Documentation Specialist experience
  • CCDS (Certified Clinical Documentation Specialist - ACDIS) or CDIP (Certified Documentation Practitioner - AHIMA) credential required

Company Overview

  • Revolution Technologies is a staffing and recruiting company that offers contract staff augmentation and permanent staffing solutions. It was founded in 1993, and is headquartered in Melbourne, Florida, USA, with a workforce of 1001-5000 employees. Its website is

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