What are the responsibilities and job description for the Clinical Documentation Specialist - San Francisco position at IDR Healthcare?
IDR is seeking a dedicated and experienced Clinical Documentation Specialist to join one of our top clients in San Francisco, CA . This role is pivotal in ensuring accurate and comprehensive clinical documentation in medical records. If you have a strong clinical background and are looking for an opportunity to join a large, growing organization with a team-oriented culture, we encourage you to apply today!
Position Overview / Responsibilities for the Clinical Documentation Specialist :
- Conducting thorough record reviews and collaborating with physicians, allied health professionals, health information management teams, and nursing staff
- Conducting concurrent reviews to enhance documentation accuracy and optimize severity of illness representation
- Ensuring compliance with MS-DRG classification per Centers for Medicare and Medicaid Services (CMS) guidelines
- Reviewing documentation for Medicare Fee-for-Service (FFS) patients and other payers identified by the organization
- Prioritizing case reviews based on organizational guidelines, including APR-DRG classification and quality data elements (e.g., Patient Safety Indicators, Readmissions)
Required Skills for Clinical Documentation Specialist :
What's in it for you?
Why IDR?
