Lead Clinical Documentation Specialist
Company: VirtualVocations
Location: Vista
Posted on: May 16, 2025
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Job Description:
A company is looking for a Lead CDI Specialist to oversee the
Clinical Documentation Integrity program and improve medical record
documentation quality.
Key Responsibilities
Assist in planning and directing day-to-day operations of the CDI
program
Facilitate improvement in the quality, completeness, and accuracy
of medical record documentation through audits and education
Perform pre-bill compliance audits and ensure accurate code
assignment and compliance with regulations
Required Qualifications
Minimum of three (3) years of experience as a Clinical
Documentation Integrity Specialist
Bachelor's degree (preferably BSN) or an Associate of Science in
Nursing with two (2) years of relevant clinical experience
Certification as a Certified Documentation Improvement Practitioner
(CDIP) or Certified Clinical Documentation Specialist (CCDS) within
one (1) year
Proficiency in Microsoft Excel and Outlook
Regular and predictable attendance is required
Keywords: VirtualVocations, Lake Forest , Lead Clinical Documentation Specialist, Healthcare , Vista, California
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