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Clinical Documentation Improvement Specialist

VirtualVocations
Sacramento, CA Full Time
POSTED ON 3/1/2025
AVAILABLE BEFORE 5/19/2025

A company is looking for a Clinical Documentation Improvement (CDI) Specialist - Remote.Key ResponsibilitiesConduct comprehensive secondary clinical chart reviews to identify documentation clarification opportunitiesPerform daily concurrent reviews of inpatient records to ensure accurate physician documentation at dischargeInitiate compliant physician queries for ambiguous or missing documentation and follow up for responsesRequired QualificationsBachelor's degree and 2-4 years of relevant experienceAt least one of the following : RN, MD, or MD Equivalent (MBBS)2-4 years of acute care inpatient hospital coding or CDI experienceFamiliarity with encoder and DRG assignmentCurrent knowledge of official coding guidelines and coding clinics

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