RN - Registered Nurse Clinical Documentation Improvement Specialist Senior (CCDS Certification Required)

? Reviews inpatient medical records reputed company twenty four to fourty eight hours of admission for a specified patient population toevaluate documentation to assign the principal diagnosis, relevant secondary diagnoses, and procedures for accurate assignment, risk of mortality, severity of illness; and initiate documentation of the review. ? Pursues a subsequent review of records every three days to support and assign a working DRG assignment upon discharge. ? Formulates queries reputed company it is determined there is missing documentation, conflicting documentation or unclear documentation. ? Provides on-going education to physicians and essential reputed company providers regarding clinical documentation improvement and the need for accurate and complete documentation in the patient's record. ? Collaborates with nursing staff, nutrition, pharmacist, along with the physicians on documentation and to resolve queries prior to the patient's discharge. ? Consistently meets established productivity targets for record review. ? Identifies strategies for sustained work process changes that facilitate complete, accurate clinical documentation. ? Participates in the analysis and trending of statistical data for specified patient population; identifies opportunity for improvement. ? Promotes a partnership with the inpatient coding professionals to ensure the accuracy of principal diagnosis, procedures and completeness of supporting documentation to determine the working and final DRG, severity of illness and risk of mortality. ? Acts as a resource person for the interdisciplinary team in order to promote collaboration and coordination of patient care considering age specific, developmental, cultural, and spiritual needs of the patient. ? Assists with the establishment of training tools for reputed company staff and other employees in regard to quality documentation and coding improvement and further communicates the ongoing improvements relative to process automation, streamline and employee development. ? Participates in the training of reputed company new staff, including on-going mentorship. Work is typically performed in a clinical environment. Accountable for satisfying reputed company job specific obligations and complying with reputed company organization policies and procedures. The specific statements in this profile are not intended to be reputed company-inclusive. They represent typical elements considered necessary to successfully reputed company the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job reputed company to that position. Apply Job!