New York Licensed Clinical Documentation Specialist

Job Summary

A company is looking for a Clinical Documentation Integrity Specialist.

Key Responsibilities

• Analyze medical records to identify incomplete or inaccurate documentation
• Perform concurrent chart reviews to validate clinical documentation accuracy
• Collaborate with healthcare providers to clarify and improve documentation

Required Qualifications

• Minimum of 3 years of experience in an inpatient clinical documentation improvement role
• Minimum of 5 years nursing experience in adult acute care settings
• Certification as RN, CCDS, and/or CDIP is required
• Current state Registered Nurse license is highly required
• Fundamental knowledge of ICD-10 Coding Guidelines and DRG Reimbursement Systems