Chennai, Tamil Nadu 4-5 Yrs ₹4.5 - ₹06 Yearly
Job description
Job Title: Emergency Department Clinical Documentation Improvement (ED CDI) Specialist
Location: Chennai/Hyderabad
Level: L2
Department : Clinical Documentation
Improvement
Reports To: Coding Manager
Position Summary:
The ED CDI Specialist is responsible for enhancing the
quality and accuracy of clinical
documentation in the Emergency Department to ensure
compliance with regulatory standards,
optimize reimbursement, and improve patient care
outcomes. This role involves collaborating
with coders, auditors, clients, physicians and other
healthcare providers to ensure that
documentation reflects the true clinical picture of
patients' conditions and treatments.
Key Responsibilities:
Documentation Review: Perform regular audits of
clinical documentation in the ED to
identify areas for improvement, ensuring accuracy and
completeness of report.
Education and Training: Provide ongoing education and
training to ED staff on best
practices for clinical documentation, including coding
guidelines and regulatory
requirements.
Collaboration: Work closely with Coders/QA
staff/Leadership/Clients, ED physicians
and clinical staff to clarify documentation issues and
promote accurate coding and
reporting.
Data Analysis: Analyze documentation trends and
outcomes to identify opportunities for
improvement in clinical practices and documentation
accuracy.
Compliance Monitoring: Ensure adherence to CMS
guidelines and other regulatory
requirements related to clinical documentation.
Feedback and Reporting: Develop and present reports on
documentation improvement
initiatives and outcomes to immediate supervisor,
stakeholders and Senior leadership.
Quality Improvement: Participate in quality
improvement initiatives aimed at enhancing
patient care and safety in the ED.
Professional Development: Stay current with
developments in clinical documentation
and coding standards through continuing education and
professional organizations.
Qualifications:
Education: Masters/bachelor s degree in any life
science stream Medicine,
Physiotherapy, Occupational Therapy, Physician
Assistant, Nursing, Pharmacy,
Biomedical, Biochemistry, Microbiology, health
information management, or related field.
Experience: Minimum of 4-5 years of clinical
experience in an emergency department