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Clinical Documentation Integrity Specialist

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Job ID 58934 Job Category Health Information Management/Coding Shift Day Employment Type Full-Time Campus WakeMed Business Center (Highwoods Building) Department Clinical Documentation Integrity

About WakeMed:
Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org.
EOE

Position Information:
The Clinical Documentation Integrity Specialist is responsible for maintaining accurate complete concise documentation for improvement and integrity of the healthcare system.  Serves as a resource to physicians and other members of the healthcare team in matters relating to DRGs SOI/ROM ICD-10 CM/ PCS HCCs APCs and CPT information.  Maintains a level of knowledge and understanding of AHIMA guidelines and knowledge of compliance and regulatory agency expectations of compliant queries. Communicates with coding team senior coding team and outside departments regarding documentation clarification and accurate coding.

Experience Requirements:
1 Year Coding And Diagnosis-Related Group Analysis In Clinical - Acute Care Required - And Clinical - Cardiology And Clinical - Critical Care (ICU/CCU) Preferred

Education Required:
Graduate Nursing Or Associate's Degree Health Information Management Required - And Bachelor's Degree Nursing Or  Health Information Management Preferred

Licensure/Certification Requirements:
Registered Nurse Or Registered Health Information Administrator Or Registered Health Information Technician Or Physician Assistant National Certifying Exam Eligible Or Certified Nurse Practitioner Or Certified Documentation Improvement Practitioner Or Certified Coding Specialist Or  Required

Hours of Work:
Monday-Friday 7:00am-3:30pm

Weekend Requirements:
No Weekends

Call Requirements:
None

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Make a Difference at WakeMed

Brittany, RN
Riley, RN
Chris, BSN, RN, CCRN
Tiffany, MA
Donald, President & CEO

At WakeMed Health & Hospitals, we are guided by a simple — yet powerful mission: to improve the health and well-being of our community by providing outstanding and compassionate care to all.

We think it’s pretty simple – we care for our employees and our employees care for the community.

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