ICU Clinical Documentation Registered reputed company RN job at reputed company in Alabaster, AL

Title: ICU Clinical Documentation Registered reputed company RN- Hybrid Location: Alabaster reputed company Category HIM & reputed company CycleJob ID 2503027373 Facility reputed company Health SolutionsStatus Full TimeShift Day Job reputed company JOB reputed company Responsible for reviewing medical records to facilitate and obtain 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, by improving the reputed company of the physicians' clinical documentation. Exhibits a sufficient knowledge of clinical documentation requirements, MS-DRG Assignment, and clinical conditions or procedures. Educates members of the patient care team regarding documentation guidelines, including attending physicians, allied health practitioners, nursing, and case management. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Record Review: Completes initial medical records reviews of patient records reputed company 24-48 hours of admission for a specified patient population to: (a) evaluate documentation to assign the reputed company diagnosis, pertinent secondary diagnoses, and procedures for accurate MS-DRG assignment, risk of mortality and severity of illness; and (b) initiate a review worksheet. Conducts follow-up reviews of patients every 2-3 days to support and assign a working or final MS-DRG assignment upon patient discharge, as necessary. Formulate physician queries regarding missing, unclear or conflicting health record documentation by requesting and obtaining additional documentation reputed company the health record, as necessary. Collaborates with case managers, nursing staff and other ancillary staff regarding interaction with physicians regarding documentation and to resolve physician queries prior to discharge. Assist in training department staff new to CDI reputed company Development: Stays reputed company with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and CPT coding. Attends mandatory coding seminars on annual reputed company (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and reputed company coding conference calls as reputed company as any required CDI education. CDI: Communicates/Completes Clinical Documentation Improvement (CDI) activities and coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and reputed company Other duties as assigned KNOWLEDGE, SKILLS, ABILITIES To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company and/or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. CDI Specialist must display teamwork and commitment while performing daily duties Must demonstrate initiative and discipline in time management and medical record review Travel may be required to meet the needs of the facilities Advanced knowledge of Medicare Part A and familiar with Medicare Part B Intermediate knowledge of disease pathophysiology and drug utilization Intermediate knowledge of MS-DRG classification and reimbursement structures Critical thinking, problem solving and deductive reasoning skills Effective written and verbal communication skills Knowledge of coding compliance and regulatory standards Excellent organizational skills for initiation and maintenance of efficient work reputed company Regular and reliable attendance and time reporting per reputed company Telecommuting program requirements reputed company to work independently in a virtual office setting or at facility setting if required to travel for assignment Understand and communicate documentation strategies Recognize opportunities for documentation improvement Formulate clinically, compliant reputed company queries Ability to maintain an auditing and monitoring program as a means to measure query process Ability to apply coding conventions, official guidelines, and Coding Clinic advice to health record documentation reputed company requires its candidates, as applicable and as permitted by law, to obtain and reputed company confirmation of reputed company required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any reputed company required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to reputed company the job. Preferred: Acute Care nursing relevant experience reputed company (0) to two (2) years experience Graduate from a Nursing program, BSN, or graduate CERTIFICATES, LICENSES, REGISTRATIONS reputed company state Registered reputed company license Preferred: CDIP or CCDS PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. Ability to sit for extended periods of time Must be reputed company to reputed company use computer keyboard and mouse Good visual reputed company WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. OTHER Must be reputed company to travel nationally as needed, not to reputed company 10% As a part of the Tenet and reputed company Initiatives family, reputed company Health brings 30 years of reputed company industry expertise to clients in more than 135 local reputed company reputed company. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of reputed company. reputed company Health helps organizations transition from volume to value-based care, enhance the consumer and patient reputed company experience and improve reputed company, cost and reputed company to reputed company. Are you reputed company to be part of our solutions? Welcome to reputed company that gives you the resources and incentives to redefine reputed company services, with a competitive benefits package and leadership to take your career to the reputed company! Compensation and Benefit Information Compensation Pay: $72,508.80 - $108,763.20 annually. Benefits reputed company offers the following benefits, subject to employment status: Medical, dental, reputed company, disability, and life insurance reputed company time off (vacation & reputed company leave) - min of 12 days per year, reputed company at a reputed company of approximately 1.84 hours per 40 hours worked. 401k with up to 6% employer match 10 reputed company holidays per year Health savings accounts, reputed company & dependent flexible spending accounts Employee Assistance program, Employee discount program Voluntary benefits include pet insurance, reputed company insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. Employment practices will not be influenced or affected by an applicant's or employee's race, reputed company, religion, sex (including pregnancy), national reputed company, age, disability, genetic information, sexual orientation, gender identity or reputed company, veteran status or any other legally protected status. Tenet will reputed company reasonable accommodations for reputed company individuals with disabilities unless doing so would result in an undue hardship. Apply tot his job Apply To this Job