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University of Maryland Medical System
Glen Burnie, Maryland
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Clinical Documentation Specialist
Nemours is seeking a Clinical Documentation Specialist to join our Nemours Children's Health team in Orlando, FL. Responsible for review of all inpatient medical records, analyze documentation of clinical diagnoses using ICD 10 criteria. Goal to identify conflicting diagnoses, gaps in clinical documentation, unspecified diagnoses, missing diagnoses and use clinical validation to clarify these diagnoses with providers. Maintain chart integrity with accurate and specific diagnoses. Maintain current knowledge of changes in diagnosis requirements for specificity around ICD changes. Outpatient medical review as indicated with same goals of accuracy and specificity and ICD 10 criteria. Educate and support the need to document for risk stra
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