Clinical Documentation Integrity Specialist at Intellis

Remote
Intellis

Remote Clinical Documentation Integrity Specialist

Clinical & Quality Services

Full-time

Job Description

JOB SUMMARY:

  • The Clinical Documentation Integrity Specialist will provide timely reviews of patient medical records to ensure accurate and complete documentation to reflect the patient’s severity and complexity of illness.
  • The clinical documentation consultant is expected to work with providers and coders to ensure that documentation on the chart reflects the complexity of the patient. The ability to educate and interact with providers is essential.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Review medical records as assigned for complete and accurate documentation of all relevant diagnoses and procedures
  • Initiate and complete queries as necessary to reflect accurate data regarding the patient’s inpatient or outpatient visit
  • Adhere to guidelines as set forth by ACDIS, AAPC, and AHIMA
  • Maintain strict confidentiality of all patient information in accordance with HIPAA
  • Demonstrate understanding of the business of healthcare: DRG payer issues, audit risks, documentation opportunities, quality metrics, hierarchical condition categories
  • Work closely with the client, co-workers and management to meet the specific needs of each assignment in alignment with Intellis’ core values
  • Effectively utilize computer software based on the specific client requirements

REQUIRED QUALIFICATIONS:

  • Current RN license or graduate of medical school with 5+ years of acute care experience
  • CCDS or CDIP certification
  • 3+ years of clinical documentation experience
  • Strong analytical skills to clinically evaluate the medical record
  • Ability to use a PC for medical record review along with proficiency utilizing Microsoft products (Excel, Word, Outlook)
  • Ability to communicate effectively with Intellis management and clients

CORE COMPETENCIES:

  • Attention to detail
  • Flexibility
  • Meeting standards
  • Problem-solving
  • Following directions

BENEFITS:

  • Competitive Compensation
  • Medical, Dental and Vision
  • Short and Long-term disability
  • Life Insurance
  • 401K with company match
  • Fantastic team atmosphere
  • Continual Education Opportunities
  • PTO
  • Paid Holidays
  • Paid Education Days
  • Pet Insurance

We are an Equal Employment Opportunity, Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

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