About the job
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
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
Licensed Physician Assistant Preferred Registered Health Information Administrator Preferred Registered Health Information Technician Preferred Certified Documentation Improvement Practitioner Preferred Certified Coding Specialist Preferred Certified Clinical Documentation Specialist Preferred or Registered Nurse Preferred
Education
Associate’s Degree Required Bachelor’s Degree Preferred Master’s Degree Physician Assistant Preferred
Experience
1 Year Clinical – Acute Care Required 1 Year Coding Preferred 1 Year Diagnosis-Related Group Analysis Preferred 1 Year Clinical – Cardiology Preferred 1 Year Clinical – Critical Care (ICU/CCU) Preferred