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Clinical Documentation Improvement Specialist

UASI

Clinical Documentation Improvement Specialist Remote Join a team that’s elevating CDI excellence. At UASI, we’re driven by a mission to improve the quality and accuracy of clinical documentation through expert CDI consulting. This role supports the accuracy of coded data, compliance with regulatory requirements, and the improvement of clinical outcomes reporting. The ideal candidate will have a clinical background, excellent analytical skills, and a passion for ensuring accurate and compliant clinical documentation. Responsibilities Review and evaluate medical record documentation for completeness, accuracy, and compliance. Collaborate with physicians, nurses, and coding professionals to ensure appropriate clinical documentation. Identify opportunities for documentation improvement to support coding accuracy, reimbursement, and clinical outcomes. Analyze medical records to ensure documentation supports quality care and appropriate reimbursement. Formulate compliant, clinically sound physician queries. Qualifications 1‑2 years of clinical documentation improvement (CDI) experience. Registered Nurse (RN) certification. Knowledge of ICD‑10‑CM, MS‑DRGs, coding guidelines, and compliance standards. Excellent communication, critical thinking, and organizational skills. Comfortable using MS Office, email, VPNs, virtual machines, two‑factor authentication, and video conferencing tools (MS Teams, Zoom, etc.). Experience using 3M and Epic preferred but not required. Benefits Full benefits package. PTO and competitive pay. Collaborative, mission‑driven team environment. Opportunities for continuous learning, education, and professional growth. Leadership that values your expertise and input. Ready to make a difference and grow your career? We would love to hear from you! UASI is an equal‑opportunity employer and does not discriminate on the basis of any protected group. #J-18808-Ljbffr UASI

Vacancy posted 5 days ago
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