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Healthcare Documentation Analyst
2 weeks ago
**Responsibilities and Requirements:**
- Review and analyze clinical documentation to ensure accurate reflection of patient care.
- Develop and submit clear, concise queries to physicians and healthcare providers.
- Collaborate with physicians, nursing staff, and other healthcare professionals.
- Ensure compliance with regulatory requirements related to clinical documentation and coding practices.
**Requirements:**
- Strong knowledge of anatomy, pathophysiology, disease processes, and management.
- Inpatient CDI experience in a specialized area (acute care setting).
- Coding knowledge required: ICD-10-CM & PCS, Clinical codes and compliance, DRGs with MCCs, CCs, SOI, ROM, APR-DRG, and MSDRG.
- AHIMA certification required (CCS credential).
- ACDIS certification required (CCDS and/or CDIP).
- Expertise in creating queries based on clinical documentation and familiarity with English grammar/written skills.