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Clinical Documentation Improvement Specialist

  2026-03-12     UnitedHealth Group     Honolulu,HI  
Description:

Perform concurrent and retrospective chart reviews for improving the overall completeness of clinical documentation. Keep abreast of current coding trends and maintains up to date knowledge of Medicare rules and regulations regarding diagnosis coding and CDI current trends. Effectively utilizes ICD-10 and related materials to investigate coding issues and produce accurate results. Conducts daily follow-up communication with providers regarding existing clarifications to obtain needed documentation specificity. Provides expert level leadership for overall improvement in clinical documentation by providing proficient level review and assessment, and effectively articulating recommendations for improvement, and the rational for the recommendations. Actively communicates with providers at all levels, to clarify information and to communicate documentation requirements for appropriate diagnoses based on severity of illness and risk of mortality. Provides complete follow-through on all reque...Improvement Specialist, Clinical, Specialist, Improvement, Health, Improvement, Healthcare


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