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.
Department Description
Licensure
Registered Nurse Required
Education
Bachelor's Degree Nursing Required
Experience
2 Years Clinical - Acute Care Or Coding - Inpatient Or 1 Year Diagnosis-Related Group Analysis Required 2 Years Clinical - Cardiology Or Clinical - Critical Care (ICU/CCU) Required
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.
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
Registered Nurse Required
Education
Bachelor's Degree Nursing Required
Experience
2 Years Clinical - Acute Care Or Coding - Inpatient Or 1 Year Diagnosis-Related Group Analysis Required 2 Years Clinical - Cardiology Or Clinical - Critical Care (ICU/CCU) Required