Job Summary
A company is looking for a Clinical Documentation Specialist - Remote.
Key Responsibilities
- Conduct concurrent reviews of patient records to ensure clarity, completeness, and accuracy of clinical documentation
- Serve as a resource for appropriate clinical documentation and communicate discrepancies to physicians
- Collaborate with the healthcare team to improve documentation quality and conduct educational sessions on documentation requirements
Required Qualifications
- Associate/Diploma Degree in Nursing or a degree in Health Information Management with relevant credentials
- Current license to practice as a registered nurse in Ohio or equivalent health information credentials
- Minimum of 5 years of acute care medical or surgical experience required
- Experience in ICD-10 coding conventions and DRG methodology preferred
- Demonstrated knowledge in using clinical information systems and office automation
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