Clinical Documentation Specialist Outpatient

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Position Summary
• Responsible for reviewing outpatient medical records for documentation impacting coding assignment.

Education
• Associates degree

Licenses and Certification
• Current Illinois license for RHIT (Registered Health Information Technician) or CCS (Certified Coding Specialist)

Experience and Skills
• Technical Experience: 2 years

Role Specific Responsibilities
• Completes review of provider based medical records
• Conducts follow up reviews
• Prompts/queries physicians with regards to missing, unclear or conflicting medical record documentation surrounding HCC (Hierarchical Condition Category) diagnoses
• Collaborates with coding staff to ensure accuracy of diagnostic data
• Educates members of patient care team regarding documentation issues
• Analyzes and trends data
• Facilitates collaboration between physician, ancillary, and coding staff regarding medical record documentation

Compensation (Commensurate with experience):

$25.09

To

$38.89

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