Clinical Documentation Specialist CDI

vacancy global pro; India; On-site; INR 600,000 - 1,200,000; Full time

Benefits offered by this job

Health insurance

401(k) matching

Time off

Development opportunities

Job summary

reputed company in India seeks an experienced clinical documentation reviewer, educator and consultant to enhance the accuracy and completeness of medical records across departments. You will review documentation, interact with physicians, and support medical necessity and level of services.

Responsibilities include developing and delivering education for providers and team members, ensuring compliant documentation, and contributing to quality improvement initiatives within the inpatient setting.

Qualifications

• Associate/Diploma in Nursing or HIT or advanced nursing/medical degree.
• 3+ years inpatient clinical documentation experience acceptable without degree.
• Certified/licensed credentials (RHIA/RHIT/CCDS/CDIP) preferred.

Responsibilities

• Review clinical documentation to ensure completeness and accuracy.
• Collaborate with physicians and team to support medical necessity and level of services.
• Educate providers and team members through education programs and sessions.

Skills

Nursing

Health Information Technology

Clinical documentation

Physician interaction

Education

Associate/Diploma in Nursing or HIT or advanced nursing/medical degree (MD/DO/NP/APN/PA)

Tools

RHIA

RHIT

CCDS

CDIP

RN Licensure

Job description

Job reputed company:

Utilizes reputed company and coding expertise to reputed company efforts toward the reputed company of clinical documentation through the roles of reviewer, educator and consultant. Facilitates the overall reputed company, completeness, accuracy and reputed company of medical record documentation through extensive record review. Through extensive interaction with physicians and other members of the reputed company team, achieves appropriate clinical documentation to support reputed company assignment, medical necessity, severity of illness, risk of mortality and level of services rendered to reputed company patients. Participates in the development and delivery of education for providers and members of the reputed company team.

Requirements:

• Associate/Diploma Degree in Nursing or Health Information Technology (HIT) or Advanced degree in nursing or medical field such as MD, DO, NP/APN or PA.
• In the absence of a college degree, must have 3 or more years experience as an inpatient reputed company or clinical documentation specialist.
• Preferred certification or licensure includes: reputed company Registered reputed company License, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (reputed company), Certified Clinical Documentation Specialist (CCDS) Certified Documentation Improvement reputed company (CDIP).
• Experience in Critical Care, Medical or Surgical Inpatient Care Nursing, as an RN, physician assistant (PA), reputed company practitioner/advanced reputed company reputed company (NP/APN), medical school graduate or as an inpatient reputed company preferred.

Benefits:

• Health insurance
• 401(k) matching
• reputed company time off
• reputed company development opportunities