Clinical Documentation Specialist - Remote
Avispa Technology
Clinical Documentation Specialist 2780781 One of the most prestigious and well-known universities is seeking a Clinical Documentation Specialist. The successful candidate will be responsible and accountable for the day-to-day management and success of the continuous documentation improvement project to include all modalities, acting as a liaison with specific department staff, speaking, meeting, and educating physicians, residents, and mid-levels, and assisting with the development and implementation of clinical documentation improvement processes. The ideal candidate has five or more years of experience as a Clinical Documentation Specialist (CDS), some or all of which must be with an Academic Medical Center (AMC). The company offers a great work environment! Clinical Documentation Specialist Pay and Benefits: * Hourly pay: $70/hr * Worksite: One of the most prestigious and well-known universities (Los Angeles, CA 90024 - Open to remote candidates in the United States) * W2 Employment, Group Medical, Dental, Vision, Life, Retirement Savings Program * 40 hours/week, 3 Month Assignment Clinical Documentation Specialist Responsibilities: * Gather and analyze information in order to provide for comprehensive medical record documentation that accurately reflects clinical treatment, decisions, and diagnosis for inpatients. * Utilize clinical expertise and some coding knowledge to identify opportunities and ensure accuracy and completeness of clinical documentation used for measuring and reporting physician and hospital outcomes, including quality measures. * Supply support to the Medical Coders, Quality staff, and revenue cycle team in the complaint coding and processing of inpatient claims. Clinical Documentation Specialist Qualifications: * 5+ years of experience as a Clinical Documentation Specialist (CDS), some or all of which must be with an Academic Medical Center (AMC). * Academic Medical Center (AMC) experience (preferably recent (last 12 months) or current). * An RN or MD certification from a US School. * Able to discuss medical diagnostic topics. * Familiar with coding as it relates to documentation. * Recent experience in an EPIC and 3M 360 Encompass (CAC) software environment. * Consistent job history in CDI with contractor experience. * Solid clinical/medical foundation (preferably someone with acute floor staff nursing experience). * Extensive coding/regulatory/compliance knowledge. * Strong technical and critical thinking ability. * Ability to clearly and fluently articulate and discuss pathophysiology. * Ability to effectively communicate to physicians/staff the necessity/appropriateness of clinical documentation. * Working knowledge of laws, rules, and regulations regarding utilization review and discharge planning functions of government programs such as Medicare, Medi-Cal, and CCS. * Immediate knowledge of computer word processing, database programs and ability to write reports and do graphical analysis. Shift: * Monday - Friday, 8:00 am to 5:00 pm.
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