Find Jobs
Find Jobs Near You – Available Work in Your Location
Clinical Documentation Integrity Specialist
Career Insights for Clinical Documentation Specialist
See where this job fits in the broader career landscape. Knowing your career path helps you see what's possible from here.
Scorecard
Based on North Carolina data
Review key factors to help you decide if this role fits your goals. How is this calculated?
What they do
A Clinical Documentation Specialist works with information technology systems and applications in health care organizations. Assists clinicians and staff with technology and implementing new systems. Creates systems for organizing and interpreting data and information for clinical trials. Records and manages clinical information about patients, including health assessments and diagnoses, test results, treatments, and follow up care requirements. Reviews and maintains patient records.
$76,918 / year median in North Carolina
+0% projected growth
Job Description
- 3.
Full Job Description Overview:
The Clinical Documentation Integrity Specialist is responsible for maintaining accurate, complete, concise documentation for improvement and integrity of the healthcare system. Serves as a resource to physicians and other members of the healthcare team in matters relating to DRGs, SOI/ROM, ICD-10 CM/ PCS, HCCs, APCs, and CPT information. Maintains a level of knowledge and understanding of AHIMA guidelines and knowledge of compliance and regulatory agency expectations of compliant queries. Communicates with coding team, senior coding team and outside departments regarding documentation clarification and accurate coding.- Eligible remote states include NC, FL, GA, SC, SD, TN, TX and VA.
Department Description:
Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org.EOE Licensure:
Licensed Physician Assistant Preferred Registered Health Information Administrator Preferred Registered Health Information Technician Preferred Certified Documentation Improvement Practitioner Preferred Certified Coding Specialist Preferred Certified Clinical Documentation Specialist Preferred Education:
Associate's Degree Required Bachelor's Degree Preferred Master's Degree Physician Assistant Preferred Experience:
2 Years Clinical- Acute Care Or Coding
- Inpatient Or Diagnosis-Related Group Analysis Required 2 Years Clinical
- Cardiology Or Clinical
- Critical Care (ICU/CCU) Preferred