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Clinical Documentation Improvement Specialist
R1 RCMCDI Specialist utilizing clinical and coding knowledge for records review and documentation improvement initiatives. Evaluating clinical services documentation quality in a remote setting for a leading healthcare solutions company.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in clinical documentation improvement and coding, with a strong focus on enhancing the quality of medical record documentation. Proficient in utilizing electronic medical records (EMR) and CDI platforms to support clinical reviews and documentation initiatives.
Highest-signal resume keywords
Clinical Documentation ImprovementElectronic Medical Records (EMR)Active US RN LicenseClinical Work ExperienceCoding Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
Clinical ReviewMedical Record DocumentationQuality ImprovementConcurrent ReviewRetrospective Review
Soft Skills
FacilitationCollaboration
Tools & Technologies
CDI Platforms
Certifications & Qualifications
Associate’s Degree in NursingBachelor’s Degree in Nursing (Preferred)
Industry Keywords
Medical-SurgicalICUTelemetryEmergency Department
About the role
Key responsibilities & impact- Use clinical and coding knowledge for conducting clinically based concurrent and retrospective reviews of inpatient medical records
- Evaluate the documentation of clinical services by identifying opportunities for improving the quality of medical record documentation
- Facilitate and obtain appropriate physician documentation for clinical conditions or procedures
- Participate in ongoing documentation improvement initiatives
Requirements
What you’ll need- Associate’s Degree in Nursing (Bachelor’s Degree in Nursing is preferred)
- Three to five years of recent clinical work experience in the medical-surgical area, ICU, telemetry, and or emergency department
- An active US RN license is required
- Knowledge or experience in electronic medical records (EMR) platforms and CDI platforms
Benefits
Comp & perks- Competitive benefits package