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Job Details

Clinical Documentation Specialist 1

Falls Church, VA

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Facility Name
Inova System Offices

Job Description
Inova is a not-for-profit healthcare system based in Northern Virginia that serves more than two million people each year from throughout the Washington, DC, metro area and beyond.
Inova has grown from one hospital in 1956 to a nationally recognized, comprehensive network of hospitals, outpatient
facilities, physician practices, and health and wellness initiatives. Inova's five hospitals include more than 1,700 licensed beds and 16,000 employees. Inova encompasses the full array of health services, including heart, lung and kidney transplant programs, the area's only Level 1 Trauma Center and Level IV neonatal intensive care unit.

We are currently hiring a Clinical Documentation Specialist 1 (CDS 1) in Falls Church, Alexandria, Fairfax, and/or Leesburg, Virginia.

CDS 1 will review clinical documentation concurrently and interact with physicians and coding auditors to ensure completeness and compliance to support MS-DRG, APR-DRG, Severity of Illness (SOI) and Risk of Mortality (ROM). CDS will help clarifying documentation using concurrent and post-discharge (retrospective) queries.
CDS will maintain proficiency in use of Clinical Documentation Improvement (CDI) applications used to code and assign working DRG.
In addition, CDS will serve as an educational resource for providers (physicians, NP, PA) regarding specific documentation for DRG assurance, quality outcomes and ICD10 compliance.
EEO: M/F/Vets/Disabled
Job ID

Work Site Address


Work Site City/State

Posting Title
Clinical Documentation Specialist 1

Work Site Location


Schedule Type
full time


1) At least 5 years of combined clinical and CDI work experience in acute care hospital settings.
2) Experience must include at least 6 months of Inpatient CDI, DRG assurance or Coding work experience.

Education Requirements:
Successful completion of four year college program, BSN or MD.

Training Requirements:
Inpatient CDI, DRG Assurance, or Coding training.
At least 90% accuracy rate on DRG assurance test, ICD-10 CDI test or equivalent.

Certification is preferred, but not required: CCDS, CDIP, or CCS is a plus.

Special Skills:
Proficiency with use of EPIC and 3M Coding/CDI applications is a plus.
Above average communication and interpersonal skills, particularly in working with physicians.
Ability to work as part of a team.

EEO Tagline
Inova considers all applicants and does not discriminate in employment on the basis of race, color, religion, sex, national origin, political affiliation, sexual orientation, gender identity, marital status, disability and genetic information, age, membership in an employee organization or other non-merit factor.

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