Clinical Documentation Specialist I - Neuro Expansion

📋 Description

• • The Clinical Documentation Specialist I - Neuro Expansion role is critical to ensuring accurate and compliant clinical documentation that directly impacts patient care, reimbursement, and quality reporting at Cleveland Clinic, one of the nation’s top hospitals.
• • Day-to-day responsibilities include reviewing inpatient and outpatient medical records to determine principal and secondary diagnoses, assigning appropriate DRGs, querying providers for clinical clarity, and ensuring documentation aligns with coding standards for severity of illness and risk of mortality.
• • The role operates within the CDI Admin-Finance department at Cleveland Clinic Health System, a world-renowned healthcare organization committed to excellence, innovation, and patient-centered care.
• • In this position, you will develop expertise in clinical documentation integrity, gain hands-on experience with CDI software and coding systems (ICD-10-CM, CPT, HCC, HCPCS), pursue professional certifications like ACDIS, and contribute to provider education initiatives that enhance documentation accuracy across clinical teams.