Clinical Documentation Integrity Specialist I
Stanford Health Care
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $56 - $74 per hour
About the role
- Reviews clinical documentation to facilitate the accurate representation of the severity of illness, expected risk of mortality, and complexity of care by improving the quality of the physician’s clinical documentation
- Initiates medical record review within 24 to 48 hours of admission
- Monitors, systematically, the targeted medical records within at least 48 hours unless otherwise indicated to determine compliance to established documentation standards
- Conducts follow-up reviews to ensure points of clarification have been addressed/documented in the medical record
Requirements
- Bachelor’s degree in Nursing, Medicine, Health Information Management or similarly related field of study or equivalent combination of education and experience
- Five (5) years of progressively responsible and directly related inpatient clinical experience
- 0 – 2 years of CDI related work experience ICU/ED and Academic Medical Center experience preferred
- Case management, utilization review and/or direct provider interaction experience, preferred
Benefits
- Health insurance
- 401(k)
- Paid time off
- Flexible working hours
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
clinical documentation reviewmedical record reviewdocumentation standards compliancecase managementutilization review
Soft Skills
attention to detailanalytical skillscommunication skillsinterpersonal skills