RN Clinical Documentation Specialist
September 15
Description
• Performs concurrent analytical reviews of clinical and coding data to improving physician documentation for all conditions and treatments from point of entry to discharge. • Facilitates the resolution of queries and educates members of the patient care team regarding documentation guidelines and the need for accurate and complete documentation in the health record, including attending physicians and allied health practitioners. • Collaborates with coding professionals to ensure accuracy of diagnostic and procedural data and completeness of supporting documentation to determine a working and final DRG, SOI, and/or ROM.
Requirements
• Candidate must have prior CDI experience • Bachelor's Degree in Nursing preferred. • Three - five years acute inpatient care experience preferred. • Knowledge of ICD10 coding, as well as strong computer skills preferred, however content training in coding will be provided.
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