Clinical Documentation Improvement Specialist

Job Summary

A company is looking for a Clinical Documentation Improvement Specialist 2nd Level Reviewer.

Key Responsibilities

• Conduct detailed reviews of medical records to ensure accurate clinical documentation and code assignment
• Provide education and training to healthcare providers on documentation best practices and coding guidelines
• Collaborate with coding teams and healthcare providers to identify documentation improvement opportunities

Required Qualifications

• BSN, PA, NP, or Doctorate degree in a medically related field preferred
• Minimum of 3 years of experience in a clinical documentation improvement role
• Certification such as CCDS and/or CDIP; CCS highly preferred
• Experience with coding systems like 3M, Epic, and/or Nuance CDEOne is highly preferred
• In-depth knowledge of coding guidelines, ICD-10-CM/PCS, and DRGs