Clinical Documentation Specialist I - Neuro Expansion

Cleveland Clinic Health System

Cleveland, Ohio, USA
Fully remote
Provider education
Medical record review
Coding compliance
As a Clinical Documentation Specialist, you will provide education to providers and clinicians to ensure the documentation of all clinical conditions and procedures within the medical record accurately reflects the condition(s) and treatment(s) of patients

Job Summary

  • As a Clinical Documentation Specialist, you will provide education to providers and clinicians to ensure the documentation of all clinical conditions and procedures within the medical record accurately reflects the condition(s) and treatment(s) of patients.
  • You will review for correct DRG, APC and HCC assignment, severity of illness and risk of mortality to align with industry standards regarding compliance.
  • A caregiver in this role works remotely from 8:00 a.m. – 5:00 p.m.

Matching Summary

As a Clinical Documentation Specialist, you will provide education to providers and clinicians to ensure the documentation of all clinical conditions and procedures within the medical record accurately reflects the condition(s) and treatment(s) of patients.

Skills & Requirements

Must-have

  • provider education
  • medical record review
  • coding compliance
  • severity of illness
  • risk of mortality
  • query activity tracking

Nice-to-have

  • patient-first healthcare
  • transforming patient experience
  • support and appreciation
  • rewarding career

Key Requirements

  • High School Diploma/GED or equivalent
  • Five years clinical nurse or inpatient/outpatient coder experience
  • Two years Clinical Documentation Integrity Specialist experience
  • Associate’s Degree in healthcare-related field
  • Registered Nurse (RN)
  • ICD10-CM, CPT, HCC, and HCPCS coding experience
  • EPIC, 3M, and Microsoft Office skills

Work Rights

Not specified

Tailored Resume

Cover Letter