What are the responsibilities and job description for the Clinical Documentation Specialist position at IDR, Inc.?
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!
This is a 3-month W2 contract, likely to extend until the end of the year.
Fully onsite in San Francisco, CA
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 :
Minimum of 2 years of Clinical Documentation Improvement (CDI) experience in a complex acute care setting
Familiarity with MS-DRG and APR-DRG classification systems
Knowledge of Centers for Medicare and Medicaid Services (CMS) compliance regulations
Strong clinical expertise and ability to work collaboratively with a diverse team
Whats in it for you?
Competitive compensation package
Full Benefits; Medical, Vision, Dental, and more!
Opportunity to get in with an industry-leading organization
Close-knit and team-oriented culture
Why IDR?
25 Years of Proven Industry Experience in 4 major markets
Employee Stock Ownership Program
Medical, Dental, Vision, and Life Insurance
ClearlyRated's Best of Staffing Client and Talent Award winner 11 years in a row
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