Certified Clinical Documentation Specialist

Key responsibilities: Conduct concurrent reviews of medical records to improve documentation accuracy and completeness Develop and manage compliant physician documentation queries in line with industry standards Analyze documentation trends and recommend strategies for improvement in clinical representation and quality reporting

Required qualifications: Graduate of an accredited Nursing program, Medical School, Physician Assistant program, or Nurse Practitioner program Three years of Clinical Documentation Integrity experience in an acute care or cancer center environment Experience in conducting concurrent clinical documentation reviews and issuing physician queries Completion of CDI-focused training through ACDIS, AHIMA, or a similar organization Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP) with an active professional license