Job summary
Job post source
This job is directly from Health Information Associates (HIA)
Job overview
The Clinical Documentation Integrity Specialist role involves collaborating with healthcare professionals to improve the accuracy and completeness of clinical documentation, impacting coding and patient care quality.
Responsibilities and impact
The specialist reviews medical records for diagnosis clarification, ensures compliance with coding guidelines, conducts audits, communicates with clients and coworkers, maintains credentials, and occasionally travels.
Experience and skills
Requires a CDI credential from ACDIS (CCDS), current RN license, preferably AHIMA or AAPC coding credential, and at least three years of experience as a clinical documentation specialist and in acute care clinical settings.
Work environment and culture
The role emphasizes professionalism, confidentiality, teamwork, flexibility, and continuous improvement within a healthcare documentation environment.
Company information
Health Information Associates specializes in clinical documentation improvement and coding compliance services for healthcare providers.
Job location and travel
Periodic travel may be required; specific location details are not provided.
Unique job features
The job requires adherence to ACDIS and AHIMA guidelines and involves working with diverse clients and projects with minimal supervision.
Company overview
Health Information Associates (HIA) is a healthcare consulting firm specializing in Health Information Management (HIM) services, particularly coding compliance and education. The company generates revenue by providing expert coding audits, interim HIM management, and coder education to healthcare organizations, ensuring accurate medical coding and compliance with regulatory standards. Founded in 1992, HIA has built a reputation for delivering high-quality, customized solutions to hospitals and healthcare providers across the United States. Their focus on accuracy, efficiency, and education positions them as a trusted partner in the healthcare industry.
How to land this job
Position your resume to highlight your recognized CDI credential from ACDIS (CCDS), current RN license, and any AHIMA or AAPC coding credentials to align with Health Information Associates' requirements.
Emphasize your three or more years of experience as a clinical documentation specialist and clinical experience in an acute care setting, focusing on skills in analyzing medical records for DRG assignment, severity of illness, and clinical indicators like HACs and PSI.
Apply through multiple platforms including Health Information Associates' corporate career site and LinkedIn to maximize your chances of being noticed for this role.
Connect with professionals in the CDI or clinical documentation division at Health Information Associates on LinkedIn, using ice breakers such as inquiring about recent CDI initiatives at HIA or asking how the team manages complex case mix data.
Optimize your resume for ATS by incorporating keywords from the job description such as 'clinical documentation improvement,' 'DRG assignment,' 'severity of illness,' 'ACDIS,' 'AHIMA,' and 'coding compliance' to ensure it passes initial screenings.
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