U
Posted 5 hours ago
Clinical Documentation Improvement Specialist
UASIClinical Documentation Improvement Specialist
Requirements
2 years CDI experience, Registered Nurse (RN) certification, Knowledge of ICD-10-CM and MS-DRGs
Skills
ICD-10-CMMS-DRGs
About the role
Responsibilities
- Review and evaluate medical record documentation for completeness, accuracy, and compliance
- Collaborate with physicians, nurses, and coding professionals to ensure appropriate clinical documentation
- Identify opportunities for documentation improvement to support coding accuracy, reimbursement, and clinical outcomes
- Analyze medical records to ensure documentation supports quality care and appropriate reimbursement
- Formulate compliant, clinically sound physician queries
Requirements
- 2 years of clinical documentation improvement (CDI) experience
- Registered Nurse (RN) certification
- Knowledge of ICD-10-CM, MS-DRGs, coding guidelines, and compliance standards
- Proficiency with MS Office, VPNs, virtual machines, and video conferencing tools
Preferred Qualifications
- Experience using 3M
- Experience using Epic
Benefits
- Full benefits package
- Paid Time Off (PTO)
- Opportunities for continuous learning and professional growth
About the Company
At UASI, we're driven by a mission to improve the quality and accuracy of clinical documentation through expert CDI consulting.
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UASI · Completely Remote
