Clinical Documentation Improvement Specialist

A company is looking for a Medical Records Technician Clinical Documentation Improvement Specialist (In / Patient / Out-Patient).

Key Responsibilities

Conduct ongoing education and concurrent reviews to improve clinical documentation and identify missed opportunities

Document co-morbidities and complications, querying medical staff for accurate health record documentation

Provide training and resources to clinical staff regarding documentation standards and coding compliance

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

Certification through AHIMA or AAPC is required for MRT (Coder) positions

Knowledge of healthcare documentation regulations and coding guidelines is essential