Cleveland Clinic

Clinical Documentation Specialist

Cleveland Clinic

full-time

Posted on:

Location Type: Remote

Location: Remote • 🇺🇸 United States

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Job Level

Mid-LevelSenior

About the role

  • Provide education to providers and clinicians for accurate documentation of clinical conditions
  • Support appropriate coding, quality measure reporting, and reimbursement
  • Maintain an accurate and complete record of review and query activity in the CDI software system
  • Utilize tools in CDI software for review completion and optimal coding
  • Meet daily review, query, and response targets
  • Participate in performance improvement and employee engagement activities
  • Assist co-caregivers and management with guidance regarding procedures
  • Provide 1:1 education to physicians and clinical staff

Requirements

  • High School Diploma/GED or equivalent
  • Five years of experience as clinical nurse in a high acuity department OR five years of experience as an inpatient or outpatient coder OR two years of experience as a Clinical Documentation Integrity Specialist
  • Associate’s Degree in healthcare-related field (preferred)
  • Registered Nurse (RN) in the current state of employment (preferred)
  • ICD10-CM, CPT, HCC, and HCPCS inpatient or outpatient coding experience (preferred)
  • ER, med surg, inpatient or care management experience (preferred)
  • Three to five years of ICU experience (preferred)
  • Med/Surg and strong CDI experience (preferred)
  • Systems EPIC – 3M Microsoft office experience (preferred)
Benefits
  • Endless support and appreciation
  • Opportunities for professional development
  • Participation in department sponsored educational opportunities
  • CEU requirements to maintain license and certification
  • Compliance with influenza prevention program

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
clinical documentation integritycodingICD10-CMCPTHCCHCPCSquality measure reportingreimbursementreview completionperformance improvement
Soft skills
educationguidanceengagementcommunication
Certifications
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