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
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
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