Clinical Documentation Specialist - Illinois
Clinical Documentation Specialist - Illinois, is a full-time position responsible for auditing and improving clinical documentation to ensure it accurately reflects patient health status and meets regulatory requirements.
Key ResponsibilitiesReview clinical records for documentation integrity and mortality scoring
Collaborate with clinical staff to improve documentation and risk adjustment findings
Maintain knowledge of CMS requirements and provide feedback during concurrent record reviewsRequired QualificationsGraduate of an accredited nursing school, PA, NP, or medical school, or Associate's degree with CCDS certification
Two years of experience in an acute care setting with clinical documentation, or four years of clinical documentation experience with CCDS certification
Certification as a Clinical Documentation Specialist (CCDS) or relevant medical licensure in Illinois
Ability to work in a fast-paced environment and manage multiple tasks
Knowledge of mortality models and clinical documentation improvement practices