New 
Clinical Documentation Integrity Specialist
 TEKsystems | |
$39.00 - $42.00 / hr
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life insurance, sick time, 401(k), retirement plan
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 United States, Connecticut, Farmington | |
 Jan 30, 2025 | |
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*Summary:*
The Clinical Documentation Integrity (CDI) Specialist ensures accurate and thorough clinical documentation to reflect patient care, support healthcare quality initiatives, and optimize reimbursement. The CDI Specialist collaborates closely with healthcare providers, coding staff, and other healthcare professionals to achieve excellence in clinical documentation. This is a one year contract position- to be considered for a permanent position, you must live within the state of Connecticut. *Key Responsibilities:* * *Documentation Review:* * Conduct regular and comprehensive reviews of patient medical records to ensure completeness, accuracy, and compliance with regulatory standards. * Identify gaps, inconsistencies, and discrepancies in clinical documentation and provide actionable feedback to healthcare providers. * *Provider Education:* * Educate and train healthcare providers on best practices for clinical documentation, including proper use of medical terminology and accurate coding. * Develop and deliver educational programs and materials to enhance provider understanding of documentation requirements. * *Collaboration:* * Work closely with coding staff, healthcare providers, and other departments to improve the quality and clarity of clinical documentation. * Participate in interdisciplinary team meetings to discuss and resolve documentation issues. * *Data Analysis:* * Analyze clinical documentation data to identify trends, areas for improvement, and opportunities for process enhancement. * Prepare reports and presentations to communicate findings and recommendations to stakeholders. * *Compliance:* * Ensure clinical documentation complies with all relevant regulatory standards, including ICD-10 and CPT coding guidelines. * Stay up-to-date with changes in healthcare regulations and documentation requirements. * *Quality Improvement:* * Participate in quality improvement initiatives related to clinical documentation. * Implement best practices and evidence-based guidelines to enhance the accuracy and integrity of clinical documentation. *Qualifications:* * *Education:* Bachelor's degree in Health Information Management, Nursing, or a related field. RHIA, RHIT, CCS, or CDIP certification preferred. * *Experience:* Minimum of 3 years of experience in clinical documentation improvement, coding, or a related healthcare field. * *Skills:* * Strong knowledge of medical terminology, coding systems (ICD-10, CPT), and regulatory requirements. * Proficiency in 3M 360 Software * Certified Documentation Integrity Practitioner Cert (CDIP) * Experience in Med Surg, Critical Care / ICU *SHIFT: *40 hours per week, start time between 7:30 - 8:30. *Pay and Benefits* The pay range for this position is $39.00 - $42.00/hr. * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) *Workplace Type* This is a fully remote position. *Application Deadline* This position is anticipated to close on Feb 12, 2025. About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. | |