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Clinical Documentation Specialist

7/9/2025

Remote

Job Summary

A company is looking for a Clinical Documentation Specialist I.

Key Responsibilities
  • Determine principal and secondary diagnoses and assign appropriate working DRG
  • Query and educate providers to ensure accurate documentation of patient conditions
  • Maintain accurate records of review and query activities in the CDI software system
Required Qualifications
  • High School Diploma/GED
  • Five years of experience as a Clinical Nurse or Inpatient/Outpatient Coder, or two years as a Clinical Documentation Integrity Specialist
  • High acuity RN experience
  • Understanding of risk adjusted payment methodologies and coding practices
  • Experience in ED, Med Surg, inpatient, or care management settings

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