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NKC Health · 1 day ago

Clinical Documentation Specialist

Kansas City, MO

Full-time

Onsite

Mid Level

NKC Health is seeking a Clinical Documentation Improvement Specialist who performs patient record reviews to ensure accurate documentation of conditions supporting hospitalization and treatment. The role includes presenting queries to physicians, validating Diagnosis Related Groups, and educating clinical professionals on best practices in documentation.

Health CareHospitalMedicalNon Profit

Responsibilities

Presents queries to physicians when needed to clarify ambiguous or incomplete documentation

The Clinical Documentation Improvement Specialist validates the assigned working Diagnosis Related Group (DRG) to support the operations of Utilization Review and Care Coordination functions

Formulates, interprets, and analyzes data relative to opportunities to improve documentation practices, including impact to Diagnosis Related Group, Risk of Mortality and Severity of Illness

Educates physicians and advanced practice professionals on best practice clinical documentation

Qualification

Clinical Documentation IntegrityICD-10-CM codingRN licenseBLS certificationCCDS certificationCDIP certificationElectronic medical recordsEducation skillsMilliman CriteriaInterQual CriteriaMS Office proficiencyClinical software knowledgeCritical thinkingEffective communicationOrganizational skillsFlexibilityProactive self-starter