Clinical Documentation Improvement Specialist

Genesis HCC; Albuquerque (NM); On-site; USD 65,000 - 90,000; Full time

Job summary

Genesis HCC is seeking a Clinical Documentation Improvement Specialist to enhance the accuracy, completeness, and quality of clinical documentation within our Healthcare & Medical Services department.

You will review medical records, collaborate with physicians and care teams, identify documentation gaps, educate clinicians on best practices, and leverage data to drive quality improvements that benefit patient outcomes.

Qualifications

• Review medical records to identify documentation gaps.
• Collaborate with physicians and care teams to ensure documentation supports coding, reimbursement, and regulatory compliance.
• Educate clinicians on best practices for documentation.
• Leverage data to drive quality improvements and patient outcomes.

Responsibilities

• Review medical records for accuracy and completeness.
• Collaborate with physicians and care teams to enhance documentation.
• Support coding, reimbursement, and regulatory compliance through precise documentation.
• Identify documentation gaps and provide targeted education to clinicians.
• Use data analytics to inform quality-improvement initiatives.

Job description

Genesis HCC is seeking a Clinical Documentation Improvement Specialist to enhance the accuracy, completeness, and quality of clinical documentation within our Healthcare & Medical Services department. You will review medical records, collaborate with physicians and care teams, and ensure documentation supports appropriate coding, reimbursement, and regulatory compliance. The role includes identifying documentation gaps, educating clinicians on best practices, and leveraging data to drive quality improvements. Join a compassionate, innovative team with strong opportunities for professional growth and meaningful impact on patient outcomes.