Clinical Documentation Specialist

Deforay technology; Chennai District; On-site; INR 403,000 - 652,000; Full time

Benefits offered by this job

Food provided

Job summary

Deforay technology seeks a Clinical Documentation Specialist (CDS) to review medical records for completeness and accuracy. The role bridges clinicians, coders, and administration to ensure accurate coding and reimbursement in a Chennai, India-based, in-person setting.

Responsibilities include chart reviews, collaboration with providers to resolve discrepancies, adherence to coding standards, staff education, and monitoring quality metrics.

Qualifications

• Tamil candidates only.
• Chennai candidates and freshers only.
• Work location: in person.

Responsibilities

• Record review of inpatient or outpatient medical charts and clinical notes.
• Communicate and clarify gaps with physicians and nurses to ensure documentation matches patient care.
• Align documentation with regulatory standards and ICD-10/CPT coding structures.

Job description

A Clinical Documentation Specialist (CDS), or Clinical Documentation Improvement (CDI) specialist, reviews inpatient or outpatient medical records for completeness, accuracy, and compliance.

They act as a bridge between healthcare providers, coders, and administration to ensure patient records accurately reflect clinical severity and support correct medical coding and reimbursement.

Core Responsibilities

• Record Review: Perform concurrent or retrospective reviews of patient medical charts and clinical notes.
• Provider Collaboration: Communicate and clarify gaps or discrepancies with physicians and nurses to ensure documentation matches actual patient care.
• Compliance & Coding Support: Align documentation with regulatory standards, risk-adjustment models, and ICD-10/CPT coding structures.
• Staff Education: Train physicians, nurses, and allied health staff on compliant and thorough record-keeping practices.
• Quality Metrics: Track outcomes data and quality indicators to support accurate institutional reporting and resource utilization.

Tamil candidates only

Chennai Candidates and Freshers only

Compensation: 402,760.92 - 652,447.47 per year

Benefits

• Food provided

Work Location: In person.