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Clinical Documentation Specialist

Clinical Documentation Specialist

VirtualVocationsBaltimore, Maryland, United States
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A company is looking for a Clinical Documentation Integrity Specialist - Remote.

Key Responsibilities

Conduct daily, concurrent reviews of inpatient records to ensure accurate physician documentation for compliant coding

Perform initial code assignment for working DRG and complete CDI software data entry for case reviews

Initiate compliant physician queries for unclear or missing documentation and follow up for responses

Required Qualifications

Bachelor's degree

One of the following : RN, MD, or MD Equivalent (MBBS)

4 years' experience in direct patient care in inpatient settings

2+ years of prior CDI experience

Familiarity with encoder and DRG assignment

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Clinical Documentation Specialist • Baltimore, Maryland, United States

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