- This is 100% remote position. CHLA requires a primary residence in California prior to start date.**
Schedule: Monday-Friday, Day Shift
Purpose Statement/Position Summary: The Clinical Documentation Specialist (CDIS) reviews medical records on a concurrent and retrospective basis to improve overall quality and completeness of clinical documentation of patient records. Works collaboratively with clinicians to ensure that clinical information in the medical record is present and accurate and provides training and education as needed. Works with the coding staff to provide guidance to ensure that appropriate clinical severity is captured for the level of service rendered to all patients. The CDIS will also perform focused reviews at the discretion of the Manager.
Minimum Qualifications/Work Experience: 3 years of experience in coding, preferably in an academic setting. Demonstrates exceptional coding skills with extensive experience in ICD10. Pediatric experience preferred.
Education/Licensure/Certifications: High School Diploma, GED, or equivalent. Current state licensure as coding specialist, registered health information administrator, and/or registered health information technologist.