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Clinical Documentation Integrity Specialist
INTEGRIS Health. Review clinical documentation to ensure accuracy, completeness, and alignment with coding and regulatory requirements .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in clinical documentation review, ensuring accuracy and compliance with coding and regulatory standards. Proficient in identifying documentation gaps and collaborating with healthcare teams to support optimal coding and reimbursement processes.
Highest-signal resume keywords
Clinical Documentation ReviewCoding KnowledgeAHIMA-RHIAAHIMA-RHITAHIMA-CCS
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
Clinical CodingDocumentation AccuracyRegulatory ComplianceData IntegrityQuery InitiationDocumentation Gaps IdentificationProductivity ManagementQuality Standards MaintenanceCDI WorkflowsReimbursement Support
Soft Skills
Clear CommunicationCollaboration
Certifications & Qualifications
AHIMA-RHIAAHIMA-RHITAHIMA-CCSAAPC-CICRN
Industry Keywords
Clinical Documentation ImprovementMedical RecordsCoding AlignmentHealthcare ComplianceDocumentation Practices
About the role
Key responsibilities & impact- Review clinical documentation to ensure accuracy, completeness, and alignment with coding and regulatory requirements
- Review medical records to identify documentation gaps impacting coding accuracy and data integrity
- Initiate queries to obtain clarification and ensure complete and accurate documentation
- Apply clinical, documentation, and coding knowledge to support accurate medical records
- Maintain productivity and quality standards while managing assigned work queues
- Work with providers, coders, and care teams to support accurate documentation
- Communicate documentation needs and query requests clearly
- Identify documentation gaps and escalate appropriately
- Complete documentation reviews and queries timely while maintaining quality
- Follow CDI workflows and support consistent documentation practices
- Support accurate documentation to ensure appropriate coding and reimbursement
- Adapt to updates in documentation and regulatory requirements
Requirements
What you’ll need- 2 years of nursing or clinical coding experience
- High School Diploma or GED
- One of: AHIMA-RHIA (Registered Health Information Administrator), AHIMA-RHIT (Registered Health Information Technician), AHIMA-CCS (Certified Coding Specialist), AAPC-CIC (Certified Inpatient Coder), or RN (Registered Nurse)
- Experience reviewing clinical documentation for coding alignment is preferred
Benefits
Comp & perks- Front-loaded PTO
- Medical benefits through the extensive INTEGRIS Health network
- Financial assistance for continued education
- 24/7 mental health support