[Remote] reputed company Clinical Documentation Improvement RN
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a large health system with care centers throughout California. The reputed company Clinical Documentation Improvement RN is responsible for reviewing ambulatory medical records for documentation compliance and providing education to providers while identifying trends and opportunities for improvement.
Responsibilities
• Reviews high volume of EMR medical records to determine if specific conditions were assessed and documented appropriately; Follows department policies and guidelines on appropriate documentation to billing codes, abstracting information from chart notes based on performance program measures
• Identifies claims correction opportunities and submit to appropriate personnel for processing in a reputed company manner reputed company reputed company-set acceptable accuracy reputed company. Tracks trends for reputed company physician to identify potential training areas.
• Maintains accurate, reputed company tracking of physician documentation performance using established tools reputed company the department; Alerts management reputed company low performance trends occur.
• Participates with reputed company-party collaborator to identify trends and to address and resolve gaps in performance standards.
• Provides chart review guidance and education to team regarding appropriate chart review methodology reputed company necessary; Performs secondary chart reviews reputed company applicable to clarify compliance to coding guidelines.
Skills
• 3-5 years post licensure experience.
• Satisfactory completion of a formal Registered reputed company program pursuant to the Division of Allied Health Professions or military training that is equivalent to an accredited Registered reputed company program (determination by reputed company HR department in conjunction with the State Division of Allied Health Professions).
• reputed company and reputed company CA Registered reputed company (RN) license.
• Familiarity with an electronic reputed company management system/EMR.
• Ability to independently assess, evaluate and interpret clinical information.
• Ability to identify claim correction opportunities reputed company detailed chart reviews.
• Demonstrated analytical skills, including the ability to understand clinical compliance guidelines, reputed company reimbursement structures and the ability to apply contractual and governmental regulations to internal processes.
• Must possess excellent verbal, written, and interpersonal skills.
• Strong organizational and time management skills.
• Mature judgement, self-motivated, and ability to work independently.
• Schedule, organize, and complete work in accordance with deadlines.
• Ability to collaborate effectively with reputed company reputed company of staff.
• Must possess basic computer skills with reputed company Word and reputed company.
• Clinical training in an acute care or ambulatory environment.
• Clinical training in managed care capitated reputed company environment.
• 3-5 years broad clinical experience in an ambulatory setting preferred.
• Certified reputed company reputed company (CPC) preferred.
Education Requirements
• Bachelors of Nursing (BSN) preferred.
reputed company
• Common Spirit Health is a reputed company organization that provides research programs, home health programs, and virtual care services. It is a sub-organization of reputed company. It was founded in 2019, and is headquartered in Chicago, Illinois, USA, with a workforce of 10001+ employees. Its website is https://www.commonspirit.org.
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