Job Responsibilities : Clinical Documentation Improvement Specialist – Inpatient Remote
Salary : $17 per hour
Company : Hill Country Memorial Hospital
Location : Remote
Completes initial review of patient records for a specified patient population to evaluate documentation to assign the principal diagnosis pertinent secondary diagnoses and procedures for accurate DRG assignment risk of mortality and severity of illness. Initiates a review worksheet.
Conducts follow-up reviews of patients to support and assign a working or final DRG assignment upon patient discharge.
Conducts follow-up reviews of patients to support and assign a working or final DRG assignment upon patient discharge.
Educates physicians and key healthcare providers regarding clinical documentation improvement.
Performs physician formal education sessions.
Collaborates with case managers nursing staff and other ancillary staff regarding interaction with physicians on documentation and to resolve physician questions prior to patient discharge.
Participates in the analysis and trending of statistical data for specified patient populations to identify opportunities for improvement.
Assists with preparation and presentation of clinical documentation monitoring trending reports for review with physicians and hospital leadership.
Educates members of the patient care team regarding specific documentation needs and reporting and reimbursement issues identified through daily and retrospective documentation reviews and aggregate data analysis.
Partners with the coding professionals to ensure accuracy of diagnostic and procedural data and completeness of supporting documentation to determine a working and final DRG severity of illness and/or risk of mortality.
Assists in the appeal process resulting from third-party reviews
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