
Clinical Documentation Improvement Specialist
Are you passionate about improving the quality of patient care through accurate and comprehensive documentation? Do you have a keen eye for detail and a strong understanding of medical terminology and coding? If so, we have an exciting opportunity for you to join our team as a Clinical Documentation Improvement Specialist at Universal Health Services.As a leading healthcare organization dedicated to providing exceptional patient-centered care, we are seeking a driven individual to join our team and play a crucial role in ensuring the accuracy and integrity of our clinical documentation. In this role, you will collaborate with healthcare providers and coding professionals to identify areas for improvement and implement strategies to enhance the quality of our medical records.To excel in this position, you must possess a strong knowledge of clinical documentation best practices, as well as a thorough understanding of coding guidelines and regulations. Additionally, excellent communication and critical thinking skills are essential for success in this role.If you are ready to make a meaningful impact on patient care and advance your career in the healthcare industry, we encourage you to apply for the Clinical Documentation Improvement Specialist position at Universal Health Services.
- Collaborate with healthcare providers and coding professionals to identify areas for improvement in clinical documentation.
- Implement strategies to enhance the accuracy and integrity of medical records.
- Conduct thorough reviews of patient records to ensure proper documentation of diagnoses, procedures, and treatments.
- Educate healthcare providers on best practices for clinical documentation and coding guidelines.
- Stay up-to-date on industry regulations and changes in coding guidelines.
- Work closely with coding and billing teams to ensure proper reimbursement for services provided.
- Analyze data and provide reports on documentation improvement efforts and outcomes.
- Develop and maintain documentation improvement policies and procedures.
- Communicate effectively with all levels of healthcare staff to promote accurate and comprehensive documentation.
- Utilize critical thinking skills to identify and resolve documentation issues.
- Participate in training and education programs to stay current on clinical documentation best practices.
- Serve as a resource for healthcare providers regarding documentation requirements and guidelines.
- Contribute to overall quality improvement initiatives within the organization.
- Maintain confidentiality and adhere to HIPAA guidelines in all aspects of the job.
- Continuously seek opportunities for personal and professional development in the field of clinical documentation improvement.
Bachelor's Degree In Nursing, Healthcare Administration, Or Related Field
Minimum Of 3 Years Of Experience In Clinical Documentation Improvement Or Medical Coding
Certified Clinical Documentation Specialist (Ccds) Or Certified Coding Specialist (Ccs) Certification
Extensive Knowledge Of Icd-10 Coding Guidelines And Cms Documentation Requirements
Strong Analytical And Critical Thinking Skills, With The Ability To Identify And Resolve Documentation Deficiencies And Coding Errors.
Communication Skills
Data Analysis
Time Management
Problem-Solving
Medical coding
Documentation review
Compliance monitoring
Critical
Clinical Knowledge
Chart Auditing
Electronic Health Records
Coding Guidelines
Communication
Conflict Resolution
Leadership
Time management
creativity
Organization
Teamwork
Adaptability
Problem-Solving
Empathy
According to JobzMall, the average salary range for a Clinical Documentation Improvement Specialist in Philadelphia, PA, USA is between $60,000 and $85,000 per year. However, this can vary depending on factors such as education, experience, and specific job duties.
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Universal Health Services, Inc. (UHS) is one of the largest and most respected providers of hospital and healthcare services in the nation with more than 90,000 employees dedicated to improving people’s lives and transforming the delivery of healthcare. Through its subsidiaries, the company operates 26 Acute Care hospitals, 328 Behavioral Health inpatient facilities, and 42 outpatient facilities and ambulatory care centers in 37 states in the U.S., Washington, D.C., Puerto Rico and the United Kingdom. UHS also offers health insurance plans through Prominence Health Plan, and manages a network of physicians through Independence Physician Management.

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