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.

** Fully onsite 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

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