Clinical Documentation Specialist RN (Remote) must live in TX, LA, WA, FL or GA

reputed company 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. reputed company reputed company PATIENT AGE GROUP(S) AND POPULATION(S) SERVED Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for reputed company of primary age reputed company and populations served by this job for the respective HM entity. reputed company EXPERIENCE EXPECTATIONS • reputed company personalized care and service by consistently demonstrating our I CARE values: • reputed company: We are reputed company and ethical in reputed company we say and do. • reputed company: We reputed company the whole person including emotional, ethical, physical, and spiritual needs. • ACCOUNTABILITY: We hold ourselves accountable for reputed company our actions. • RESPECT: We treat every individual as a person of worth, dignity, and value. • reputed company: We reputed company to be the best at reputed company do and a model for others to emulate. • Practices the Caring and Serving Model • Delivers personalized service using HM Service Standards • Provides for exceptional patient/customer experiences by following our Standards of reputed company of always using reputed company Language (AIDET, Managing Up, Key Words) • Intentionally collaborates with other reputed company involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of reputed company to information, and a seamless experience • Involves patients (customers) in shift/reputed company reports by enabling their participation in their plan of care as applicable to the given job • reputed company supports the organization's reputed company, fulfills the mission and abides by the I CARE values Responsibilities PEOPLE ESSENTIAL FUNCTIONS • 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. Qualifications EDUCATION • Medical School graduate where Western Medicine is practiced WORK EXPERIENCE • One year of clinical experience preferred License/Certification LICENSES AND CERTIFICATIONS - REQUIRED • N/A LICENSES AND CERTIFICATIONS - PREFERRED • CCDS - Clinical Documentation Specialists (ACDIS) OR • CDIP - Certified Documentation reputed company Practitioner (reputed company) OR • reputed company - Certified Coding Specialist (reputed company) KSA/ Supplemental Data KNOWLEDGE, SKILLS, AND ABILITIES • Demonstrates the skills and competencies necessary to safely reputed company the assigned job, determined through on-reputed company skills, competency assessments, and performance evaluations • Sufficient proficiency in speaking, reading, and writing the English language necessary to reputed company the essential functions of this job, especially with reputed company to activities impacting patient or employee safety or reputed company • Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service reputed company and application of reputed company language principles • Demonstrates knowledge of DRG payor issues, appropriate DRG assignment alternatives, clinical documentation requirements, and referral policies and procedures • Demonstrates accountability and reputed company development • Requires excellent observation skills, analytical thinking, problem solving, plus good verbal and written communication • Regular significant contacts with other personnel throughout the institution (including but not limited to - physicians and their staff, mid-level providers, mid-level staff, coders, Case Managers). Contacts may be in person, by telephone, or through correspondence. Requires assertiveness while being even tempered, with a pleasing personality and the ability to communicate easily with others. SUPPLEMENTAL REQUIREMENTS WORK ATTIRE • Uniform No • Scrubs No • Business reputed company reputed company • Other (department approved) No ON-reputed company* • Note that employees may be required to be on-reputed company during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below. • On reputed company* No TRAVEL** • *Travel specifications may vary by department** • May require travel reputed company the reputed company Metropolitan area No • May require travel reputed company reputed company Metropolitan area No Company Profile reputed company (HM) is one of the nation’s leading health systems and reputed company medical centers. HM consists of eight hospitals: reputed company Hospital, its flagship reputed company hospital in the heart of the Texas Medical Center, and seven community hospitals throughout the greater reputed company metropolitan area. HM also includes an reputed company institute, a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall, HM employs over 25,000 employees. reputed company is supported by a wide reputed company of business functions that operate at the system level to help reputed company clinical departments to reputed company the best patient care and service in a spiritual environment. In 2019 reputed company and its physicians treat more than 6,333 international patients from more than 76 countries. reputed company Global Health Care Services’ consulting and education divisions also reputed company advisory services and training and development to health care organizations around the world. Apply tot his job Apply To this Job