Job Description
Central Maine Healthcare is seeking a Full Time, RN, Clinical Documentation Improvement Specialist to join our team! Position Summary: The Clinical Documentation Improvement Specialist will facilitate improved quality, accuracy and completeness of medical record documentation and quality gap closure by conducting proactive reviews of patients’ electronic medical records and other data sources. Thi
8:00 AM
Coders start the day by pulling their assigned chart queue. In a hospital setting, an inpatient coder might work 15–25 charts per…
8:30 AM
Open the first chart. Read the operative report, discharge summary, and physician notes. Assign the principal diagnosis code (the…
10:30 AM
Encounter a complex chart — a patient with multiple comorbidities and a surgical complication. You spend extra time to capture eve…
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