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Clinical Documentation Improvement Specialist at Capital Health - ApplyBlast

Clinical Documentation Improvement Specialist

Capital Health

3 months ago

3.3 on Glassdoor

Onsite

Full Time

Medior

0 applicants

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About this role

The Clinical Documentation Improvement Specialist facilitates the improvement of clinical documentation quality and completeness in patient records by collaborating with physicians, nurses, and coding staff. The role ensures accurate DRG assignment and quality measure reporting through record reviews, physician queries, and education on documentation guidelines.

Responsibilities

Review patient records to assign principal and secondary diagnoses for accurate DRG
Query physicians to clarify and complete clinical documentation
Educate physicians and care team on documentation guidelines and improvement
Collaborate with coding professionals to ensure accurate diagnostic and procedural data
Facilitate EMR template redesign and process changes to capture required documentation

Skills

Qualifications

RNBSNCertified Clinical Documentation Specialist (CCDS)Certified Documentation Improvement Practitioner (CDIP)

About Capital Health

capitalhealth.org

Headquarters

Trenton, New Jersey, United States

Company Size

1001-5000 employees

Founded

1998

View Profile

Capital Health is the region's leader in providing progressive, quality patient care with exceptional physicians, nurses, and staff, as well as advanced technology.