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HIM Clinical Documentation Specialist, PRN - Remote

Posted 2 days ago
All others
Part Time
MD, USA
$38.67 - $58.05/hour

Overview

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.

In Short

  • Work as a Clinical Documentation Specialist under the CDI program.
  • Ensure accurate and complete inpatient medical record documentation.
  • Support ICD-10-CM and ICD-10-PCS coding.
  • Follow ethical standards set by ACDIS and AHIMA.

Requirements

  • Education: RN, MD, PA, CRNP, CCS, RHIT, or RHIA.
  • Minimum of 2 years of experience in clinical documentation or related fields.
  • Must obtain CCDS or CDIP certification within 2 years of hire.

Benefits

  • Competitive pay range of $38.67-$58.05 per hour.
  • Opportunities for professional growth.
  • Confidential handling of your information according to EEO guidelines.
University of Maryland Medical System logo

University of Maryland Medical System

The University of Maryland Medical System (UMMS) is an academic private health system dedicated to providing compassionate, high-quality care while integrating discovery and innovation into clinical practice. Collaborating with the University of Maryland School of Medicine, School of Nursing, and University of Maryland, Baltimore, UMMS serves as a vital healthcare provider, delivering 25% of all hospital care across urban, suburban, and rural areas in Maryland. The system operates 11 hospitals, including the flagship University of Maryland Medical Center in Baltimore, along with a network of urgent care centers and over 150 locations throughout 13 counties, ensuring accessible primary and specialty care for the community.

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