Lead Clinical Documentation Specialist

A company is looking for a Lead CDI Specialist to oversee the Clinical Documentation Integrity program and improve medical record documentation quality. Key Responsibilities Assist in planning and directing day-to-day operations of the CDI program Facilitate improvement in the quality, completeness, and accuracy of medical record documentation through audits and education Perform pre-bill compliance audits and ensure accurate code assignment and compliance with regulations Required Qualifications Minimum of three (3) years of experience as a Clinical Documentation Integrity Specialist Bachelor's degree (preferably BSN) or an Associate of Science in Nursing with two (2) years of relevant clinical experience Certification as a Certified Documentation Improvement Practitioner (CDIP) or Certified Clinical Documentation Specialist (CCDS) within one (1) year Proficiency in Microsoft Excel and Outlook Regular and predictable attendance is required

May 7, 2025 - 16:23
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Lead Clinical Documentation Specialist
A company is looking for a Lead CDI Specialist to oversee the Clinical Documentation Integrity program and improve medical record documentation quality. Key Responsibilities Assist in planning and directing day-to-day operations of the CDI program Facilitate improvement in the quality, completeness, and accuracy of medical record documentation through audits and education Perform pre-bill compliance audits and ensure accurate code assignment and compliance with regulations Required Qualifications Minimum of three (3) years of experience as a Clinical Documentation Integrity Specialist Bachelor's degree (preferably BSN) or an Associate of Science in Nursing with two (2) years of relevant clinical experience Certification as a Certified Documentation Improvement Practitioner (CDIP) or Certified Clinical Documentation Specialist (CCDS) within one (1) year Proficiency in Microsoft Excel and Outlook Regular and predictable attendance is required