Jobs 1 - 11 out of 11 for Medical Documentation Specialist

Summary This position is located within the Department of Veterans Affairs(VA), Veterans Health Administration(VHA), James A. Haley VA hospital. Clinical Documentation Integrity Specialists(CDIS) must be able to perform all duties of MRT(Coder-outpatient and Inpatient). CDIS's serve as the liaison ...

Provide concurrent clinical review of inpatient medical records to ensure accurate and complete documentation of diagnoses and procedures. Review clinical information, assign appropriate codes, support quality assurance and reporting efforts, and provide education to providers and staff on clinical ...

Provide concurrent clinical review of inpatient medical records to ensure accurate and complete documentation of diagnoses and procedures. Review clinical information, assign appropriate codes, support quality assurance and reporting efforts, and provide education to providers and staff on clinical ...

Conduct clinical based retrospective reviews of inpatient medical records to evaluate documentation quality and compliance. Identify documentation gaps and opportunities affecting diagnosis coding and DRG assignment. Oversee the appeals process and perform audit and compliance reviews. Conduct train...

The Medical Records Technician (Clinical Documentation Improvement Specialist) analyzes patient health records, abstracts clinical information, and assigns accurate ICD, CPT, and HCPCS codes for diagnoses and procedures. Responsibilities include reviewing clinical documentation, educating staff on d...

Provides coverage for duties relative to a centralized document and authorization system. Supports individual offices to ensure accuracy of information for incoming documents. Updates medical records with pertinent information such as lab results and historical information. Manages document retrieva...

Analyze and abstract patients' health records, assign alpha-numeric codes for diagnoses and procedures, assist facility staff with documentation requirements, provide technical support on coding requirements, and ensure provider documentation is complete. Collaborate with clinical staff to improve d...

Reviews inpatient and outpatient clinical documentation to ensure accuracy, completeness, and support of correct code assignment. Conducts concurrent and retrospective documentation reviews; identifies opportunities for clarification and improvement. Serves as a liaison between HIM and clinical prov...

The major duties of a Medical Records Technician (Clinical Documentation Improvement Specialist - Outpatient) include reviewing clinical documentation for completeness, accuracy, clarity, and specificity, ensuring documentation supports all monitored conditions, performing concurrent CDI reviews, ap...

Medical Records Technicians (Clinical Documentation Integrity Specialists) classify medical data from patient health records, analyze and abstract health records, assign codes for diagnoses and procedures, and facilitate improved quality and accuracy of documentation. They review documentation, reco...

Writing Air Combat Command medical-related guidance, procedures, doctrine, etc.