Clinical Documentation Specialist Outpatient
Listed on 2026-08-10
-
Healthcare
Medical Billing and Coding, Medical Records, Healthcare Administration, Health Informatics
Job Title
Clinical Documentation Integrity Specialist
Job DescriptionIdentifies factors influencing the complexity and severity of patient diagnoses. Works collaboratively with providers in the ambulatory setting to ensure overall specificity, accuracy and completeness of clinical documentation to support the highest integrity of the medical record.
Essential FunctionsUtilizes clinical and/or coding expertise, clinical documentation integrity practices and facility specific tools for best practice and compliance with the mission and vision of revenue cycle.
Provides daily evaluation of documentation by the Medical Staff and healthcare team including lab results, diagnostic information and treatment plans to assure appropriate documentation supports reported diagnoses.
Reviews and makes recommendations for improvement to the overall quality, integrity and completeness of clinical documentation by utilizing knowledge of ICD-10 and CMS guidelines, compliance, policies and procedures.
Partners with the CDI Outpatient team members to guide, support and sponsor the CDI Program
Communicates with ambulatory providers and healthcare team members to clarify documentation necessary for complete and accurate coding for proper reimbursement via electronic query practices.
Educates healthcare team about clinical documentation and coding guidelines via presentations, departmental meetings and documentation tips.
Licensed Clinical CDS performs medical record reviews to ensure complete documentation and accurate code capture based on Provider performance.
Certified Coding CDS performs medical record reviews and assigns final diagnosis codes prior to payer submission.
QualificationsRequired:
Bachelor's Degree or equivalent nursing, health-related field, and/or business administration (or equivalent work experience).
5 years of relevant experience Minimum 5 years' experience required in a clinical setting and/or minimum 5 years' experience in a coding setting.
LIC-Registered Nurse (RN) - State of Michigan Upon Hire Or CRT-Coding Specialist (CCS) - AHIMA American Health Information Management Association Upon Hire Or CRT-Registered Health Information Technician (RHIT) - AHIMA American Health Information Management Association Upon Hire Or CRT-Registered Health Information Administrator (RHIA) - AHIMA American Health Information Management Association Upon Hire Or CRT-Professional Coder, Certified
- Hospital Outpatient (CPC-H) - UNKNOWN Unknown Upon Hire Or CRT-Outpatient Coder, Certified (COC) - UNKNOWN Unknown Upon Hire
As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope.
Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.
Comprehensive benefits package to meet your financial, health, and work/life balance goals.
On-demand pay program powered by Payactiv
Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
Optional identity theft protection, home and auto insurance
Traditional and Roth retirement options with service contribution and match savings
Eligibility for benefits is determined by employment type and status
Primary Location
SITE
- Corewell Health Southfield Center - 26901 Beaumont Blvd
Department Name
Risk Adjustment CDI
- Corporate
Employment Type
Full time
Shift
Day (United States of America)
Weekly Scheduled Hours
40
Hours of Work
8 a.m. to 4:30 p.m.
Days Worked
Monday to Friday
Weekend Frequency
N/A
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