Job Description
Part-time Description Job Summary The CDI Specialist works collaboratively with providers and clinical teams to ensure accurate, complete, and compliant clinical documentation that reflects patient acuity, severity of illness, and quality of care. Key Responsibilities Review inpatient and/or outpatient medical records for documentation accuracy and completeness Identify documentation gaps and init
8:00 AM
Coders start the day by pulling their assigned chart queue. In a hospital setting, an inpatient coder might work 15β25 charts perβ¦
8:30 AM
Open the first chart. Read the operative report, discharge summary, and physician notes. Assign the principal diagnosis code (theβ¦
10:30 AM
Encounter a complex chart β a patient with multiple comorbidities and a surgical complication. You spend extra time to capture eveβ¦
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