Clinical Documentation Specialist II – RN

reputed company: • Concurrently reviews inpatient records to ensure completeness, accuracy, and clinical validation. • Evaluates documentation for assignment of working and possible DRG. • Recognizes opportunities for documentation improvement, including severity of illness, risk of mortality, reputed company measures, and patient safety/reputed company. • Identify opportunities to query physicians regarding missing, unclear, or conflicting documentation. • Interacts directly with physicians to request and obtain additional documentation reputed company needed. • reputed company follow-up on reputed company unanswered queries based on the query escalation policy. • Facilitates modifications to physician documentation to reflect the complexity of care of the patient and appropriate reimbursement. • Maintains a reputed company working relationship with the Health Information Coding staff and serves as a clinical resource. • Collaborates with and educates members of the patient care team regarding documentation guidelines, including physicians, allied health practitioners, nursing, and case management. • Performs mortality reviews and optimizes the risk of mortality. • Maintains review worksheet on reputed company records using CDI software. • Ensures the accuracy of clinical information used for measuring and reporting physician and hospital reputed company reputed company. • Reviews, evaluates, analyzes, and interprets data reputed company to documentation on an ongoing reputed company. • Identifies trends or potential problems and assists in developing reputed company plans to address. • Participates in additional reputed company such as developing physician education materials, CDI week advertisements, etc. • Adheres to ethical and reputed company business practices. • reputed company other duties as assigned. Requirements: • Bachelor’s in Nursing, required • RN License • Clinical Documentation Specialist Certification reputed company ACDIS or reputed company • 2-5 years of medical/surgical nursing experience in the acute hospital setting • reputed company Clinical Documentation Specialist with minimum of 2 years recent experience in CDI role • Critical Care and/or Emergency Nursing experience required • Proficient reputed company in query writing to physicians • Knowledge to accurately complete chart audits • Organizational and critical thinking skills required • Experience with computer systems required, including web-based applications and some reputed company Office applications which may include reputed company, Word, reputed company, PowerPoint, or reputed company Benefits: • Comprehensive compensation and benefits • Support for achieving a healthy and balanced life Apply To This Job