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23 Oct 2019

Full-Time Clinical Documentation Specialist( Brooksville, FL)

Relode – Posted by olgaxanchez Anywhere

Job Description

Current license to practice as a Registered Nurse (RN) in the State

 • 2+ years of recent and relevant clinical experience required.

• 2+ years experience in clinical documentation improvement, ICD-9-CM and DRGs.

• 2+ years experience in providing physician and coder education in an acute care setting

. • Previous experience working in a clinical documentation improvement department or as a consultant.

• Minimum of one-year auditing experience.


• This individual will possess a broad knowledge of documentation requirements for accurate ICD-9-CM, ICD-10-CM/PCS and MS-DRG assignment.

• This knowledge will play a key role in determining the reimbursement and quality potential of facilities.

• Adherence to official coding compliance regulations, corporate policies developed to ensure accurate billing, and industry best-practice is essential.

• The documentation specialist is on–site and available five days a week and may be required to work and an occasional weekend or holiday to ensure coverage.


• Performance of inpatient medical record audits

• Issuance of compliant, Client-approved, best-practice physician documentation clarification requests

• Tracking and reporting of CDIS activities

• Development and delivery of Physician, Coder and Clinical Documentation Improvement Specialist (CDIS) education through a variety of modalities • Providing coders, senior leadership and facility personnel orientation to documentation improvement activities


Job Categories: Administrative Medicine Jobs. Job Types: Full-Time. Salaries: 40,000 - 60,000.

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