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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

      "We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
      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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