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RN - Registered Nurse Clinical Documentation Improvement Specialist Senior (CCDS Certification Required)
Job SummaryThe Clinical Documentation Improvement Program is designed to improve the physician's documentation in the patient's medical record supporting the appropriate severity of illness, expected risk of mortality and complexity of care of the patient. Assists the providers with accurately identifying and documenting the healthcare services provided to the patient. Analyzes the clinical information, using the documentation as the primary driver. Acts as documentation liaison to physician staff as a means of finalizing information in the medical record.Job DutiesReviews inpatient medical records within twenty four to fourty eight hours of admission for a specified patient population toevaluate documentation to assign the principal diagnosis, relevant second
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