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Vanderbilt Health
Nashville, Tennessee
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Duke University Health System
Durham, North Carolina
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University of Maryland Medical System
Baltimore, Maryland
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Clinical Documentation Specialist
The Clinical Documentation Specialist provides clinical review of patient medical records to ensure documentation accurately reflects the level of clinical services, severity of illness and specificity of care. This position interacts with physicians, nursing staff, medical records coding staff, compliance specialists and other healthcare providers to ensure that clinical information in the medical record is accurate so that the appropriate utilizations, clinical severity, outcomes and quality are captured for the level of service rendered and ensures compliant reimbursement of patient care services.
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