Clinical Documentation Specialist (404293) Job at IDR, Inc., San Francisco, CA

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  • IDR, Inc.
  • San Francisco, CA

Job Description

IDR is seeking a dedicated and experienced Clinical Documentation Specialist to join one of our top clients in San Francisco, CA . This role is pivotal in ensuring accurate and comprehensive clinical documentation in medical records. If you have a strong clinical background and are looking for an opportunity to join a large, growing organization with a team-oriented culture, we encourage you to apply today!

** This is a 3-month W2 contract, likely to extend until the end of the year.

** Hybrid-Schedule in San Francisco, CA

Position Overview/Responsibilities for the Clinical Documentation Specialist:

  • Conducting thorough record reviews and collaborating with physicians, allied health professionals, health information management teams, and nursing staff
  • Conducting concurrent reviews to enhance documentation accuracy and optimize severity of illness representation
  • Ensuring compliance with MS-DRG classification per Centers for Medicare and Medicaid Services (CMS) guidelines
  • Reviewing documentation for Medicare Fee-for-Service (FFS) patients and other payers identified by the organization
  • Prioritizing case reviews based on organizational guidelines, including APR-DRG classification and quality data elements (e.g., Patient Safety Indicators, Readmissions)

Required Skills for Clinical Documentation Specialist:

  • Minimum of 2 years of Clinical Documentation Improvement (CDI) experience in a complex acute care setting
  • Familiarity with MS-DRG and APR-DRG classification systems
  • Knowledge of Centers for Medicare and Medicaid Services (CMS) compliance regulations
  • Strong clinical expertise and ability to work collaboratively with a diverse team

What’s in it for you?

  • Competitive compensation package
  • Full Benefits; Medical, Vision, Dental, and more!
  • Opportunity to get in with an industry-leading organization
  • Close-knit and team-oriented culture

Why IDR?

  • 25+ Years of Proven Industry Experience in 4 major markets
  • Employee Stock Ownership Program
  • Medical, Dental, Vision, and Life Insurance
  • ClearlyRated's Best of Staffing® Client and Talent Award winner 11 years in a row

Job Tags

Contract work,

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