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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in clinical documentation, ensuring accurate medical record evaluation and adherence to compliance standards such as HIPAA. Proficient in collaborating with healthcare providers and utilizing Microsoft products for effective communication and documentation.
Highest-signal resume keywords
Clinical Documentation ExperienceCurrent RN LicenseCCDS or CDIP CertificationProficiency in Microsoft ExcelStrong Analytical Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical Record ReviewDocumentation EvaluationDRG Payer Issues AnalysisQuality Metrics AssessmentHierarchical Condition Categories Evaluation
Soft Skills
Effective CommunicationCollaborationEducation and Interaction with Providers
Tools & Technologies
Microsoft WordMicrosoft OutlookPC Utilization
Certifications & Qualifications
CCDS CertificationCDIP CertificationCurrent RN License
Industry Keywords
ACDISAAPCAHIMAHIPAAClinical Documentation Improvement
About the role
Key responsibilities & impact- Review assigned patient medical records for complete and accurate documentation of relevant diagnoses and procedures
- Initiate and complete queries as necessary to reflect accurate inpatient or outpatient visit data
- Adhere to guidelines set forth by ACDIS, AAPC, and AHIMA
- Maintain strict confidentiality of patient information in accordance with HIPAA
- Evaluate DRG payer issues, audit risks, documentation opportunities, quality metrics, and hierarchical condition categories
- Work with providers and coders to ensure documentation reflects patient complexity
- Educate and interact with providers
- Collaborate with clients, co-workers, and management to meet assignment needs
- Use computer software according to client requirements
- Travel to field sites up to 15% of the time may be required
Requirements
What you’ll need- 3+ years of clinical documentation experience
- Current RN license
- Strong analytical skills to clinically evaluate the medical record
- Ability to use a PC for medical record review
- Proficiency utilizing Microsoft products (Excel, Word, Outlook)
- Ability to communicate effectively with e4health management and clients
- Applicants for U.S. based positions must be legally authorized to work in the United States
- Verification of employment eligibility required at time of hire
- Visa sponsorship is not available
- CCDS or CDIP certification preferred
- BSN, in addition to RN license, preferred
Benefits
Comp & perks- 401(k) with company match
- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- Short-term disability insurance
- Long-term disability insurance
- PTO policy