Clinical documentation specialist [h1.location_city]

A company is looking for a Medical Records Technician (Clinical Documentation Improvement Specialist).

Key Responsibilities

Assist facility staff with documentation requirements and ensure provider documentation supports diagnoses and procedures coded

Collaborate with clinical staff to improve documentation quality and compliance, optimizing reimbursement and preventing fraud

Compile, review, and analyze medical data to identify documentation improvements and ensure accurate representation of patient care

Required Qualifications, Training, and Education

U.S. Citizenship is required

One year of experience in medical terminology, anatomy, physiology, and medical coding, or an associate's degree in health information technology

Completion of an AHIMA approved coding program or equivalent training may substitute for experience

Certification through AHIMA or AAPC is required, with options for mastery level or clinical documentation improvement certification

Proficiency in English is mandatory