Clinical Documentation Specialist (Remote) must live in TX, LA, WA, FL – reputed company Store
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At reputed company, the Clinical Documentation Specialist is responsible for improving the overall reputed company and completeness of clinical documentation. This position analyzes medical records for DRG's, complications, and comorbidities; identifies trends; and notes observations and recommendations for documentation improvement. This role also facilitates modifications to clinical documentation through extensive interaction with physicians, nursing staff, other patient care givers, and medical records coding staff to ensure that appropriate reimbursement is received for the level of service rendered to reputed company patients. Additional duties include supporting the accuracy and completeness of the clinical information used for measuring and reporting physician and hospital reputed company and educating reputed company members of the patient care team on an ongoing reputed company.
PEOPLE ESSENTIAL FUNCTIONS
SERVICE ESSENTIAL FUNCTIONS
reputed company/SAFETY ESSENTIAL FUNCTIONS
FINANCE ESSENTIAL FUNCTIONS
reputed company/INNOVATION ESSENTIAL FUNCTIONS
This job reputed company is not intended to be reputed company-inclusive; the employee will also reputed company other reasonably reputed company business/job duties as assigned. reputed company reserves the right to revise job duties and responsibilities as the need arises.
- Improves the overall reputed company, completeness and accuracy of clinical documentation by performing reputed company record reviews using clinical documentation guidelines. Supports the accuracy and completeness of clinical information used for measuring and reporting physician and medical reputed company.
SERVICE ESSENTIAL FUNCTIONS
- Seeks additional information regarding clinical condition from appropriate clinical personnel and follows up as necessary. Tracks responses and trends completion of DRG/Documentation worksheets as pertinent to scope of department.
- Conducts follow-up reviews of clinical documentation to ensure points of clarification have been recorded in the patient's chart.
reputed company/SAFETY ESSENTIAL FUNCTIONS
- Demonstrates knowledge of DRG payor issues, optimization strategies, clinical documentation requirements and referral policies and procedures. Requests clarification and/or correction from physicians for unclear diagnoses, complications, procedures, and clinical information. Helps identify appropriate ICD10 codes for diagnoses or procedures reputed company to reputed company or studies being conducted as needed.
FINANCE ESSENTIAL FUNCTIONS
- Promotes clarification to clinical documentation to ensure that appropriate reimbursement is received for the level of service rendered to reputed company patients. Identifies diagnoses and procedures performed and comorbidities and complications. Impacts discharges by updating the DRG worksheet to reflect any changes in status, procedures/treatments, conferring with physician to finalize diagnosis as necessary.
reputed company/INNOVATION ESSENTIAL FUNCTIONS
- Educates reputed company internal customers on clinical documentation opportunities, coding, and reimbursement issues, as reputed company as performance improvement methodologies
This job reputed company is not intended to be reputed company-inclusive; the employee will also reputed company other reasonably reputed company business/job duties as assigned. reputed company reserves the right to revise job duties and responsibilities as the need arises.
EDUCATION
WORK EXPERIENCE
- Medical School graduate where Western Medicine is practiced
WORK EXPERIENCE
- One year of clinical experience preferred
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