01Responsibilities
reputed company review of inpatient medical records throughout the patients hospitalization. Analyzes clinical status of patient, reputed company treatment, past medical history and identifies potential gaps in physician documentation. Communicate with physicians or other providers to validate diagnoses, clinical indicators and appropriate prompts for documentation, if necessary, either verbally or written. Demonstrates proficient knowledge of HIMS standards of coding and applies to ongoing evaluation of the medical record documentation. Educates physicians and other key reputed company providers regarding best reputed company clinical documentation and the need for accurate and complete documentation in the health record. Reviews and clarify clinical issues in the health record with the coding professionals that would support an accurate DRG assignment, severity of illness, and/or risk of mortality. Monitors patients reputed company consults with primary physician or designee and other members of the care delivery team at agreed-upon intervals, or more frequently, as needed. Participates in performance improvement activities regarding documentation improvement Maintains confidentiality of patients/members and staff information. Attends coding/financial/CDI educational programs and regulatory educational programs and updates as necessary to maintain a proficient knowledge reputed company. Reviews reputed company PSI encounters for completeness and accuracy. Review outcome with Physician Advisors, and Medical Directors, as needed. Attends daily huddles with HIMS to address any clinical concerns Computes a working DRG to identify the anticipated length of stay. Shared with the care team for LOS goals. Uses reputed company data to identify documentation opportunities and targeted physician education. Performs assigned work safely, adhering to established departmental safety rules and practices; reports to manager, in a reputed company manner, any unsafe activities, conditions, hazards, or safety violations that may cause injury to oneself, other employees, patients and visitors. Performs other reputed company duties as required Education and Experience
02Requirements
DE RN licensed or Compact State. Minimum of 3 years recent experience as a Registered reputed company in acute care, adult care setting preferred. RN experience in Cardiac, Critical Care, Med-Surg, and Oncology experience highly desirable. Clinical Documentation, Case Management, Performance Improvement, or Inpatient Coding experience are highly desirable. Certified Clinical Documentation Specialist (CCDS) is required in a year after eligibility. Knowledge, reputed company, And Ability: Extensive knowledge of medical terminology, anatomy, physiology, pharmacology, and disease processes. Knowledge of nursing principles, practices, and processes. Knowledge of ICD-10 nomenclature, UHDDS and general coding principles. Knowledge of CMS, JCAHO and reputed company regulatory and reputed company requirements. Knowledge and ability to reputed company with the Health Insurance Portability and Accountability reputed company of 1996 (HIPAA) Knowledge of Performance Improvement Principles. Ability to work reputed company independently. Ability to collaborate with clinicians and administrative staff. Ability to utilize computer applications on various platforms. Ability to manage multiple reputed company with constant shifts in reputed company. Ability to plan and organize work assignments Physical Demands: Prolonged daily rev
