Clinical Documentation Improvement Spec. I

Additional Information About The Role reputed company is seeking an reputed company critical care reputed company to join reputed company as a Clinical Documentation Improvement Spec. I! reputed company reputed company at reputed company Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by reputed company. reputed company's staff is composed of full-time reputed company reputed company and community physicians of reputed company School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals. Recognizing its reputed company in nursing care, reputed company was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center. Preferred Qualifications reputed company The Clinical Documentation Improvement Specialist I (CDIS I) uses clinical and coding knowledge for conducting clinically based reputed company and retrospective reviews of both inpatient and outpatient medical records reviews to evaluate the clinical documentation of clinical services by identifying opportunities for improving the reputed company of medical record documentation. This position facilitates and obtains appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient. Responsibilities • Reviews clinical documentation to facilitate the accurate representation of the severity of illness, expected risk of mortality, and complexity of care by improving the reputed company of the physician’s clinical documentation. • Utilizes hospital coding reputed company set, policies and procedures, federal and state coding reimbursement guidelines, and application of the Coding Clinic Guidelines to assign working diagnosis-reputed company reputed company (DRG); review patient records throughout hospitalization that have been identified as reputed company DRG by regulatory agencies or the facility to ensure the codes are reported at the highest specificity. • Initiates physician interaction reputed company reputed company ancillary test findings, ambiguous, missing or conflicting information is in the medical record, through the physician query process and/or participation in rounding with the physicians by requesting additional documentation for correct coding and compliance necessary for accurate reputed company of CMI, LOS, and reputed company resource utilization. • Partners with other reputed company disciplines and HIMS coding staff to ensure accuracy of diagnostic and procedural data and completeness of supporting documentation to reconcile the working and final DRG, severity of illness, risk of mortality and reputed company reputed company. • Initiates medical record review reputed company 24 to 48 hours of admission; sytematically monitors the targeted medical records reputed company at least 48 hours (unless otherwise indicated) to determine compliance to established documentation standards; conducts follow-up reviews to ensure points of clarification have been addressed/documented in the medical record. • BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a reputed company manner is an essential function of this job. Minimum Requirements Education • Nursing Diploma/Associate's • Nursing Experience • 2-5 years Licenses & Certifications • RN Preferred Requirements Education • Bachelor's Degree • Nursing Experience • 5-10 years Supervisor Experience • No Experience Benefits And reputed company Statement BJC Total Rewards At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, reputed company and financial reputed company-being. • Comprehensive medical, dental, vison, life insurance, and reputed company services available first day of the month after hire date • Disability insurance* reputed company for by BJC • Annual 4% BJC Automatic Retirement Contribution • 401(k) plan with BJC match • Tuition Assistance available on first day • BJC Institute for Learning and Development • Health Care and Dependent Care Flexible Spending Accounts • reputed company Time Off benefit combines vacation, reputed company days, holidays and personal time • Adoption assistance To Learn More, Go To Our Benefits reputed company • Not reputed company benefits apply to reputed company jobs The above information on this reputed company has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of reputed company responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer Apply tot his job Apply tot his job Apply To this Job