Clinical documentation improvement specialist vs certification specialist

Differences between clinical documentation improvement specialist and certification specialist duties and responsibilities

Clinical documentation improvement specialist example responsibilities.

• Create documentation education classes to general surgery residents, increasing the leveling of reporting which lead to increase revenues.
• Interact directly with physicians to query for more specific documentation and to provide documentation guidelines from ICD-9 and ICD-10 standards.
• Prepare, maintain and update clinical documentation ensuring completeness and accuracy of services provide to the patients.
• Assign the correct POA status.
• Participate in the initiation of the CDIS program.
• Train new employees on how to utilize radiology information systems.
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Certification specialist example responsibilities.

• Support ISO audits for process documentation and software/ literature distribution, managing follow-up corrective action plans as needed.
• Pre-Certify and scheduling of MRI's and bone scans.
• Order supplies, apply cast, splints and other orthopedic equipment.
• Prepare, apply, remove and adjusts casts and splints as advised by physician.
• Review medical records to determine ICD-9 diagnosis and procedure codes according to establish guidelines and submit claims for processing.
• Assign ICD-9 codes for various clinic types such as physical, occupational and speech therapies, diagnostics and labs.
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