Clinical Documentation Specialist / CDI

Job Title: Clinical Documentation Specialist / CDIPosition Type: RemoteFacility Address: 800 East Dawson Street, , Tyler, TX, 75701Shift: 0800-1700 (Mon-Fri)Contract Weeks: 12 Pay Rate: $50/hr to $57/ hr on W2GUARANTEE: 40-hrsSYSTEM: Meditech

REQUIRED EXPERIENCE: Min 3 yrs exp in HIM OR Min 3 yrs acute hospital inpatient coding exp.REQUIRED EDUCATION/CERTIFICATION:RHIA/RHIT/Cert. Coder (associate degree in HIM required; Bachelor’s degree in HIM highly preferred) or Current TX (or compact) RN license (ADN required, BSN highly preferred)CCS (Preferred) Job Description:Clinical Documentation Specialist Responsibilities:Applying knowledge of medical terminology and procedures to evaluate clinical documents.Collecting medical information from healthcare providers and updating medical records.Verifying the accuracy of patient medical information and obtaining missing information.Monitoring diagnoses, treatments, and follow-up entries in medical records.Interpreting and preparing clinical reports for healthcare professionals and public health officials.Meeting with healthcare stakeholders to explain findings and facilitate actions.Ensuring that the content and storage of medical documents comply with federal laws.Training medical and administrative staff in standard medical recordkeeping procedures.Keeping abreast of advancements in the field of clinical documentation and changes in regulations.Clinical Documentation Specialist Requirements:Associate's or bachelor's degree in health information technology.Registered Health Information Technician (RHIT) preferred.Registered Nurse (RN) will be advantageous.Proficiency in Electronic Medical Record (EMR) software, such as eClinicalWorks and Praxis.A minimum of 3 years experience in a similar role.Advanced knowledge of best practices in medical recordkeeping.In-depth knowledge of medical terminology, coding, and procedures.Extensive experience in collecting and interpreting medical information, as well as training staff.Ability to keep informed of advancements and regulations in clinical documentation.Excellent organizational and communication skills.