The Clinical Documentation Integrity Specialist will provide timely reviews of patient medical records to ensure accurate and complete documentation to reflect the patient’s severity and complexity of illness. The clinical documentation consultant is expected to work with providers and coders to ensure that documentation on the chart reflects the complexity of the patient. The ability to educate and interact with providers is essential. 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Reviews medical records as assigned for appeal writing 
• Adheres to guidelines as set forth by ACDIS, AAPC, and AHIMA 
• Maintains strict confidentiality of all patient information in accordance with HIPAA 
• Works closely with the client, co-workers and management to meet the specific needs of each assignment in alignment with e4health core values 
• Effectively utilizes computer software based on the specific client requirements 

• Current RN license or graduate of medical school with 5+ years of acute care experience 
• 3+ years of clinical appeal experience 
• Strong analytical skills to clinically evaluate the medical record 
• Ability to use a PC for medical record review along with proficiency in utilizing Microsoft products (Excel, Word, Outlook) 
• Ability to communicate effectively with Intellis management and clients 
• Cerner experience preferred