Clinical Documentation Integrity Specialist (32 hours per week) Job at Western Reserve, Cuyahoga Falls, OH

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  • Western Reserve
  • Cuyahoga Falls, OH

Job Description

Completes concurrent and/or retrospective documentation reviews of the medical record to determine the clinical validation of the documented diagnoses and/or procedures. Supports Documentation Improvement Task Force efforts to educate and reinforce the use of CDI Guides/Evidence Based Diagnostic Criteria for chart integrity and accurate reimbursement. Ensures physician awareness of documentation guidelines in relation to coding guidelines that support appropriate reimbursement.

Education and Training

Required:

  • High School Diploma or equivalent
  • RHIA, RHIT, CDIP, CCDS, CCS, or RN Certification

Preferred:

  • Associate in Health Information Management
  • Bachelors in Health Information Management
  • Graduate of an accredited school of nursing with a current license to practice in the State of Ohio or current multi state RN Licensure that is recognized by Ohio

Experience

  • Five (5) years professional nursing experience which should include a combination of medical, specialty and/or surgical care in an acute care setting or three (3) years of inpatient coding experience in an acute care facility.
  • Proven CDI/DRG ability through work sample.

Job Tags

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