CLINICAL DOCUMENTATION IMPROVEMENT SPEC

Dukehealth.org

Durham, NC

JOB DETAILS
SKILLS
Acute Care, Best Practices, Certified Coding Specialist (CCS), Clinical Study Publications, Communication Skills, Diversity, Documentation, Healthcare, Maintain Compliance, Medical Records, Patient Admissions, Patient Care, Quality Management, Regulatory Compliance, Staff Training, Time Management
LOCATION
Durham, NC
POSTED
1 day ago

Seeking a Clinical Documentation Integrity Specialist to enhance medical record accuracy through collaboration with healthcare teams. Responsibilities include reviewing and modifying documentation to reflect patient admission reasons, severity, and conditions, ensuring compliance with regulations. The role involves timely chart reviews, communicating deficiencies, and educating staff on documentation best practices. Requires a BSN, PA, NP, or doctorate in a medical field, with at least 3 years of healthcare experience, preferably in acute care and chart review. Strong communication, critical thinking, organization, and knowledge of quality improvement are essential. Preferred certifications include CCDS, CCS, or CDIP. The position offers opportunities for education, collaboration, and supporting quality patient care in a diverse, inclusive environment. Relocation assistance may be available.

  • Must be licensed/registered in NC or eligible.
  • Equal opportunity employer committed to diversity.

About the Company

D

Dukehealth.org