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Clinical Documentation Specialist (CDI) - Remote)
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Job Description
- Req#: 00645146
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $54.51 per hour
- Opportunity for career advancement and growth within the organization
- Work remotely with flexibility in your schedule
- Supportive and collaborative work environment
- Chance to make a positive impact on clinical documentation and patient care
What to Expect (Job Responsibilities):
- Review and ensure the accuracy and completeness of clinical documentation in medical records
- Educate and communicate with healthcare providers regarding documentation standards and practices
- Conduct concurrent reviews of patient health records for clarity and precision
- Code relevant diagnoses and collaborate with coding staff to ensure accurate reflection of patient care
- Utilize data entry tools to track documentation integrity and efficiency
What is Required (Qualifications):
- Associate/Diploma Degree in Nursing or Health Information Technology (HIT) or an advanced degree in a medical field
- 3 or more years of experience as an inpatient coder or clinical documentation specialist if no degree is held
- Excellent verbal and written communication skills along with strong interpersonal abilities
- Proficiency in using desktop and Windows-based computer systems
- Ability to work independently and collaboratively in a fast-paced environment
How to Stand Out (Preferred Qualifications):
- Current Registered Nurse License or relevant certifications such as RHIA, RHIT, CCS, CCDS, or CDIP
- Experience in Critical Care, Medical or Surgical Inpatient Care Nursing
- Familiarity with databases, spreadsheet software, and presentation tools
- Strong critical thinking and organizational skills
- Experience in delivering educational presentations to healthcare teams
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