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Trinity Health

We are one of the largest not-for-profit, faith-based health care systems in the nation.

Clinical Documentation Specialist – CDI

Medical writerMedical writerFull TimeRemoteSeniorTeam 10,001+H1B SponsorCompany SiteLinkedIn

Location

Michigan

Posted

113 days ago

Salary

$36.3K - $54.5K / year

Seniority

Senior

Associate Degree3 yrs expExperience acceptedEnglish

Job Description

Clinical Documentation Specialist – CDI

Trinity Health

• Utilizes advanced clinical and coding expertise to direct efforts toward the integrity of clinical documentation through the roles of reviewer, educator and consultant. • Facilitates the overall quality, completeness, accuracy and integrity of medical record documentation through extensive record review. • Through extensive interaction with physicians and other members of the healthcare team, achieves appropriate clinical documentation to support code assignment, medical necessity, severity of illness, risk of mortality and level of services rendered to all patients. • Participates in the development and delivery of education for providers and members of the healthcare team.

Job Requirements

  • Associate/Diploma Degree in Nursing or Health Information Technology (HIT) or Advanced degree in nursing or medical field such as MD, DO, NP/APN or PA.
  • In the absence of a college degree, must have 3 or more years’ experience as an inpatient coder or clinical documentation specialist.
  • Preferred certification or licensure includes: Current Registered Nurse License, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Clinical Documentation Specialist (CCDS) Certified Documentation Improvement Professional (CDIP).
  • Experience in Critical Care, Medical or Surgical Inpatient Care Nursing, as an RN, physician assistant (PA), nurse practitioner/advanced practice nurse (NP/APN), medical school graduate or as an inpatient coder preferred.

Benefits

  • Health insurance
  • 401(k) matching
  • Paid time off
  • Professional development opportunities

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