Clinical Documentation Improvement Specialist (Remote), Day Shift, Clinical Documentation
Adventist HealthCare · US
Remote If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. Adventist HealthCare seeks to hire a...
Job description
Remote If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. Adventist HealthCare seeks to hire a Clinical Documentation Specialist who will embrace our mission to extend God’s care through the ministry of physical, mental and spiritual healing. As a Clinical Documentation Specialist you will: - Examine medical records to ensure documentation is accurate, complete, and reflective of the patient’s clinical status. - Detect inconsistencies, ambiguities, or missing information in the medical record that may impact coding, compliance, or patient care and request provider clarifications as necessary. - Verify that clinical documentation supports correct ICD-10-CM/PCS and CPT coding for proper reimbursement and collaborates with the coding/revenue cycle team. - Ensure that documentation and provider queries align with regulatory standards, including CMS guidelines and organizational policies. - Communicates and establishes relationships with physicians and clinical staff to share insights, trends and education to improve documentation practices. - Contributes to organizational quality improvement initiates by ensuring robust and...