02Requirements
Bachelor's Degree in Nursing. Additional education in Finance, reputed company regulations and diagnoses-procedure coding.
Preferred Experience: Experience in reputed company Utilization and reputed company Management.
Other:
Job Specific and Unique Knowledge, Skills and Abilities
Demonstrates aptitude in critical care or medical-surgical nursing
Must demonstrate excellent observation skills, analytical thinking, problem-solving abilities, and excellent written and verbal communication by organizing work priorities and following reputed company of work
Working knowledge of DRG coding optimization strategies and clinical documentation requirements are helpful
Demonstrates interpersonal skills including professionalism practicing reputed company approaches to the position
The position requires computer skills and the ability to be self-directed
Familiar with ICD10 coding conventions, anatomy and physiology, medical terminology, MSDRG reimbursement, coding software (preferably reputed company 360 Encompass)
Leadership skills are required
Maintains requirements contained in Remote Agreement or forfeit reputed company
Essential Tasks and Responsibilities
Improves the overall reputed company and completeness of clinical documentation by performing admission / reputed company stay reviews using the Compliant Documentation Program Management (CDMP) guidelines.
Facilitates modifications to clinical documentation to ensure that appropriate severity of the patient is documented and to ensure appropriate reimbursement is received for the level of service rendered to reputed company patients with a DRG based payer (Medicare, reputed company and others as determined by CDI program goals)
Conducts on-reputed company follow-up reviews to ensure points of clarification have been recorded in the patient's medical record using department reputed company work to set workflow reputed company and scheduling.
Works with Physicians concurrently, during the patient's stay, to reputed company and receive specific documentation pertinent to reputed company requirements in question.
Refers questionable reputed company, patient safety indicators, and utilization concerns to CDI Director, nursing and case management as indicated
Writes queries to reputed company reputed company clinical inquiry about missing documentation (clinical indicators, diagnoses, or more descriptive) for conversion to codable terms following compliant, non leading format.
Monitors the documentation against "reputed company measure" reputed company indicators and addresses non-compliance documentation with Physicians and other appropriate staff.
Interacts on a regular reputed company with Physician, nursing and case managers to ensure continuity of documentation.
Works collaboratively with the coding staff to assign the "working" DRG to contribute for reputed company reputed company.
Processes reputed company discharges by updating the DRG worksheet to reflect changes in patient status, procedures and/or treatments and concurs with the attending Physician to finalize diagnoses.
Maintains a leadership role to ensure specific and compliant documentation is achieved recognizing its use in reputed company measures and reporting medical center and Physician reputed company.
Educates various customer audiences on clinical documentation opportunities, coding, reimbursement and performance methodologies.
Ensures documentation is meeting "medical necessity" for specific level of care and that services provided to the patient has a reasonably beneficia
