What are the responsibilities and job description for the Clinical Document Improvement Specialist position at CSI Companies?
Job Summary
We are seeking a skilled Clinical Documentation Improvement Specialist (CDIS) to join our client’s team on a remote basis. The ideal candidate will have a solid clinical / medical background, including a minimum of 5 years of experience in clinical documentation improvement (CDI), with some or all of that experience within an Academic Medical Center (AMC). In this role, you will support the accurate and complete documentation of patient care, ensuring compliance with coding regulations and improving clinical documentation processes. You will also use EPIC and 3M 360 Encompass (CAC) software in your daily workflow.
Job Responsibilities :
- Review and assess medical records for accuracy and completeness, ensuring proper documentation of diagnoses, procedures, and treatment plans.
- Collaborate with physicians, nurses, and other healthcare providers to ensure clinical documentation meets coding and compliance standards.
- Utilize EPIC and 3M 360 Encompass (CAC) to support clinical documentation improvement efforts and ensure coding accuracy.
- Educate and guide clinical staff on proper documentation practices and regulatory requirements.
- Analyze medical records to identify gaps in documentation and assist in improving clinical documentation for accurate coding.
- Stay current on coding regulations and compliance requirements, including updates to ICD-10, CPT, and other coding guidelines.
- Assist in the creation of documentation policies, guidelines, and workflows to optimize accuracy and compliance.
- Ensure clinical documentation aligns with hospital quality standards and regulatory requirements.
Minimum Qualifications :
About Us
The CSI Companies is a leading staffing and recruiting firm, providing healthcare organizations with highly skilled professionals since 1994. We have been recognized as a “Best of Staffing” award winner for nearly 10 consecutive years, and we pride ourselves on delivering exceptional talent to leading healthcare organizations.
Benefits Offered :For consideration, please submit your resume with relevant experience. Only candidates selected for interviews will be contacted.
