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Clinical Documentation Specialist

Anveta Health Inc
San Francisco, CA Full Time
POSTED ON 2/4/2025
AVAILABLE BEFORE 4/3/2025

Overview

We are seeking a dedicated Clinical Documentation Specialist to join our team. The ideal candidate will play a crucial role in ensuring accurate and comprehensive medical documentation to support quality patient care and compliance with regulatory standards.

Duties

Description:

Job Description: The Clinical Documentation Specialist (CDS) uses strong clinical experience and knowledge to facilitate complete and specific clinical documentation in the medical record, reflecting the patient's accurate clinical picture. This involves extensive record review, interaction with physicians, allied health professionals, health information management professionals, and nursing staff. The CDS assists the organization by utilizing a concurrent review process to promote optimized severity of illness and quality in the medical record. This includes MS-DRG classification according to regulatory compliance set forth by Centers for Medicare and Medicaid Services (CMS). This process will be applied to all Medicare Fee for Service (FFS) patients as well as any other payers identified by the organization in a manner consistent with all pertinent coding and compliance regulations. Case review prioritization is based on the prioritization by the organization and may also include review of records for accuracy of documentation related to APR-DRG classification and Quality Data elements

Job Type: Contract

Pay: $35.00 per hour

Expected hours: 37.5 per week

Schedule:

  • 12 hour shift
  • Day shift
  • Monday to Friday

Experience:

  • Clinical Documentation Specialist: 3 years (Required)
  • Clinical documentation improvement (CDI): 2 years (Required)

Ability to Commute:

  • San Francisco, CA 94109 (Required)

Ability to Relocate:

  • San Francisco, CA 94109: Relocate before starting work (Required)

Work Location: In person

Salary : $35

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