Documentation Integrity Specialist IV, Clinical Licensure

Job Summary:

Reviews a moderate caseload of medical/health records to promote the accuracy and completeness of clinical documentation and assigns medical codes and diagnostics-related groups (DRGs) to facilitate the accurate capture of diagnoses. Assists in enhancing the clinical documentation improvement/integrity (CDI) program by integrating processes to improve the accuracy and completeness of clinical documentation and documentation issue resolution. Supports regulatory compliance by aiding audits, reviewing clinical documentation, and documenting cases of non-compliance in line with coding guidelines and federal regulations. Collaborates with others to conduct staff trainings and education on clinical documentation improvement (e.g., medical review and coding, quality standards, documentation requirements for diagnosis capture).

Essential Responsibilities:


+ Promotes learning in others by proactively providing and/or developing information, resources...