TrustHCS has decades of coding, auditing and CDI experience. We deliver the right people, processes and technology to improve coding compliance and financial results. From remote, outsourced coding services to documentation auditing, clinical documentation improvement. TrustHCS delivers the experts you need to ensure better health information outcomes.
Conduct clinical documentation responsibilities, meeting productivity and quality standards as set for each project.
Adhere to all coding and clinical documentation improvement guidelines as endorsed by AHIMA and ACDIS.
Perform review on CDIS queries and looks for additional query opportunities.
Review medical records for completeness and accuracy for severity of illness and risk of mortality.
Accurate and timely record review.
Demonstrate knowledge of DRG payer issues, documentation opportunities, clinical documentation requirements, and referral policies and procedures.
Analyze findings and identify potential root causes of produced errors.
Prepare referenced summary reports of findings for clients.
Provide client education related to audit findings.
Experience with telecommuting, working with EMRs and other electronic tools.
Strong analytical skills.
Strong Microsoft Office skills.
Works well with numbers.
Strong team player.
Ability to work with multiple and diverse clients and projects.
Ability to work with minimal supervision.
Ability to maintain and access multiple files.
Assure that work product is completed with high levels of accuracy and attention to detail.
Education & Experience:
Recognized CDI credential from ACDIS (CCDS) or AHIMA (CDIP).
Current clinical license (RN, NP, PA, MD).
Two or more years working as a clinical documentation specialist.
Three years or more clinical experience in an acute care setting. Bachelor’s Degree required, Master’s Degree preferred.
Company provided laptop and monitor.
Excellent benefits package.
PTO and flexibility with work schedule.