HIM Clinical Documentation Specialist, PRN

Overview

Job Description

• Under the direction of the Site Manager of the Clinical Documentation Integrity (CDI) program, the Clinical Documentation Specialist (CDS) strives to achieve accurate and complete documentation in the inpatient medical record to support precise ICD-10-CM and ICD-10-PCS coding and reporting of high-quality healthcare data. The CDS is guided by the Association of Clinical Documentation Integrity Specialists (ACDIS) “Code of Ethics” and the American Health Information Management Association’s (AHIMA) “Ethical Standards for Clinical Documentation Integrity Professionals” and the Official Guidelines for Coding and Reporting as approved by the Cooperating Parties.
  
  

Qualifications

Qualifications

• Education
• Registered Nurse (RN), Physician (MD), Physician Assistant (PA) , Certified Registered Nurse Practitioner (CRNP), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).
  
  

Experience

• Minimum of 2 years of experience reviewing Inpatient medical records as a Clinical Documentation Integrity Specialist, Coder/DRG Analyst with a clinical background, Care Manager, Utilization Review Specialist, or Quality Review Specialist
• or
• Minimum of 3 years chart abstraction/chart review experience
• Licensures/Certifications
• Must obtain certification as a Certified Clinical Documentation Specialist (CCDS) via ACDIS or a Certified Documentation Integrity Practitioner (CDIP) via AHIMA within 2 years of hire or eligibility.
  
  

Additional Information

All your information will be kept confidential according to EEO guidelines.

Compensation

• Pay Range:$38.67-$58.05
• Other Compensation (if applicable):
• Review the 2025-2026 UMMS Benefits Guide
  
  

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PandoLogic. Keywords: Clinical Documentation Specialist, Location: Towson, MD - 21284