Clinical Documentation Integrity Specialist

We seek a dedicated and detail-oriented Clinical Documentation Improvement Specialist to join our healthcare team. This role is essential in ensuring the accuracy and completeness of clinical documentation, which is vital for patient care, compliance, and reimbursement. The ideal candidate will have a strong background in medical coding and health information management, particularly in inpatient and outpatient settings.

Review clinical documentation to accurately reflect the patient's condition and treatment. Collaborate with healthcare providers to clarify and improve documentation practices. Utilize coding standards such as ICD-10, CPT, HCPCS to ensure compliance with regulatory requirements. Conduct audits of medical records to identify areas for improvement in documentation. Provide education and training to clinical staff and health care providers on best practices for documentation. Stay updated on changes in coding regulations and standards that impact clinical documentation. Support the transition of documentation practices in various care settings, including primary care, specialty practices, home health, and hospice.