Clinical Documentation Improvement Specialist jobs in United States
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UASI ยท 2 months ago

Clinical Documentation Improvement Specialist

UASI is dedicated to improving the quality and accuracy of clinical documentation through expert consulting. They are seeking experienced Clinical Documentation Improvement professionals to support accurate coded data and enhance clinical outcomes reporting in a fully remote role.

Hospital & Health Care
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Culture & Values

Responsibilities

Review and evaluate medical record documentation for completeness, accuracy, and compliance
Collaborate with physicians, nurses, and coding professionals to ensure appropriate clinical documentation
Identify opportunities for documentation improvement to support coding accuracy, reimbursement, and clinical outcomes
Analyze medical records to ensure documentation supports quality care and appropriate reimbursement
Formulate compliant, clinically sound physician queries

Qualification

Clinical Documentation ImprovementRegistered Nurse (RN)ICD-10-CMMS-DRGs3MEpicMS OfficeVideo conferencing toolsCommunication skillsCritical thinkingOrganizational skills

Required

1-2 years of clinical documentation improvement (CDI) experience
Registered Nurse (RN) certification
Knowledge of ICD-10-CM, MS-DRGs, coding guidelines, and compliance standards
Excellent communication, critical thinking, and organizational skills
Comfortable using MS Office, email, VPNs, virtual machines, two-factor authentication, and video conferencing tools (MS Teams, Zoom, etc.)

Preferred

Experience using 3M and Epic

Benefits

Collaborative, mission-driven team environment.
Opportunities for continuous learning, education and professional growth.
Leadership that values your expertise and input

Company

UASI

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Since 1984, UASI has been one of the largest independent healthcare revenue cycle consulting firms in the United States.

Funding

Current Stage
Late Stage

Leadership Team

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Nancy Koors
Chief Executive Officer
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Company data provided by crunchbase