Clinical Documentation Specialist

2 - 7 years

0 Lacs

Posted:1 week ago| Platform: Foundit logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Major Responsibilities:

  • Perform concurrent reviews of inpatient records using EHR platforms (e.g., Iodine, Epic)
  • Identify documentation gaps and issue compliant, patient-specific queries
  • Apply knowledge of DRG classification, ICD-10-CM/PCS, and coding guidelines
  • Maintain accurate logs of reviews, query status, and follow-ups in designated systems
  • Achieve productivity and quality benchmarks under the CDI program

Education & Experience:

  • Bachelors degree in Life Sciences, or equivalent Required
  • 27 years of experience in medical coding or CDI in an acute care or RCM setting (some type of coding experience required; inpatient coding experience highly preferred) Required
  • Certified Clinical Documentation Specialist (CCDS/CDIP) or AHIMA/AAPC credential Preferred
  • Proficiency with ICD-10, DRG grouping, and query compliance practices Required
  • Strong communication, analytical, and clinical interpretation skills

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