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Clinical Documentation Specialist 1 - Full Time - Remote
PayCompetitive
LocationHialeah/Florida
Employment typeFull-Time
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Job Description
- Req#: R100086757
Employer Industry: Healthcare
Why consider this job opportunity:
- Competitive salary and comprehensive benefits package, including medical, dental, and tuition remission
- Opportunity for career advancement and professional development through workshops and conferences
- Collaborative work environment with a focus on high-quality clinical documentation
- Engaging role that allows for significant interaction with healthcare providers and the clinical team
- Chance to work with South Florida's only university-based health system, renowned for excellence in patient care and medical education
What to Expect (Job Responsibilities):
- Conduct thorough health record reviews to ensure accurate provider documentation of clinical conditions and procedures
- Collaborate with healthcare team members to facilitate high-quality clinical documentation and compliance with regulations
- Utilize effective queries and critical-thinking skills to identify opportunities for documentation improvement
- Maintain accurate records of review findings and data elements in CDI software and other mechanisms
- Communicate effectively with providers and escalate concerns regarding documentation and coding discrepancies
What is Required (Qualifications):
- Bachelor's degree in Nursing, Health Information Management, or a related medical field
- Current RN, MD, or RHIA certification required
- Minimum of two (2) years of direct patient care in an acute care setting or three (3) years of inpatient coding experience
- Proficiency in Microsoft Office applications and technology/software
- Strong understanding of clinical knowledge, disease processes, and treatment management
How to Stand Out (Preferred Qualifications):
- CCDS or CDIP certification preferred; must obtain within three years from the date of hire
- Coding certification (CCS, CIC, or CPC) preferred
- Previous experience in clinical documentation improvement (CDI) preferred
- Familiarity with 3M 360 Encompass software preferred
- Excellent written and verbal communication skills, with a demonstrated ability to communicate effectively with providers
#Healthcare #ClinicalDocumentation #CareerOpportunity #ProfessionalDevelopment #TeamCollaboration
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."About the company
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