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Health Information Management Clinical Documentation Integrity Specialist
Posted 1 month ago
Job summary
The HIM CDI Specialist I reviews patient records for accuracy and completeness, collaborates with healthcare professionals to clarify documentation, and ensures proper coding for reimbursement and quality metrics, requiring expertise in medical terminology, coding systems, and healthcare documentation standards.
Responsibilities
The Clinical Documentation Integrity Specialist reviews patient records to ensure accurate and timely documentation of conditions supporting hospitalization. They collaborate with healthcare teams to clarify documentation and facilitate appropriate MS-DRG and APR-DRG assignments.
Qualifications
Candidates must hold a degree in nursing, a medical degree, a master's in a healthcare field, or have graduated from an accredited HIM program. Applicants require at least two to three years of relevant clinical or coding experience and appropriate professional certifications.
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