Clinical Documentation Integrity Specialist
Duke Careers
full-time
Posted on:
Location Type: Office
Location: Durham • North Carolina • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Clinical Documentation Integrity Specialists improve the overall quality and completeness of the medical record.
- Facilitate modifications to clinical documentation to ensure accurate depiction of the level of clinical services, reason for admission, patient severity, risk of mortality, and conditions present on admission.
- Communicate with and educate members of the patient care team (physicians, advanced practice providers, patient resource managers, and case management) on an ongoing basis.
- Participate in select committees and provides education programs as necessary.
- Review clinical documentation and facilitates modifications, as needed, to ensure compliance with established documentation standards.
- Maintain a level of practice demonstrating knowledge and understanding of the AHIMA Practice Brief and compliance expectations.
Requirements
- A BSN or PA (Physician's Assistant) or NP (Nurse Practitioner) or doctorate degree in a medically related field is required.
- Three years of progressive healthcare experience in an acute care setting.
- Previous chart review experience (case management utilization review) preferred.
- Excellent written/verbal communication, critical thinking, creative problem solving and conflict management skills in addition to proficient organization and planning skills are required.
- Demonstrated knowledge of quality improvement theory and practice.
Benefits
- Relocation Assistance (based on eligibility)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
clinical documentationchart reviewcase managementutilization reviewquality improvement
Soft skills
written communicationverbal communicationcritical thinkingcreative problem solvingconflict managementorganizationplanning
Certifications
BSNPANP