Clinical Documentation Improvement Specialist Precyse Solutions
THIS JOB HAS EXPIRED
Job Details
Required Skills: CDI
Specialty Requirements: None Listed
Credentials: CDIP
Employment Type: Full-Time
Hours Per Week: 40
Relocation Covered: No
Amount of Travel: No
Duration: Ongoing
Work Type: On-Site, Local
Manages Others: No
Job Description
Join Precyse as we lead the movement toward HIM Innovation. Our clients will look to your expertise as you facilitate the improvement in the overall quality and completeness of medical record documentation.
This position is based is based in Far Rockaway, NY. You will work at a leading hospital, helping to drive clinical documentation improvement.
Responsibilities:
Obtain appropriate clinical documentation through extensive interaction with physicians, nursing staff, other patient care givers, and Health Information Management coding staff to ensure that appropriate reimbursement is received for the level of services rendered to patients and the clinical information utilized in profiling and reporting outcomes is complete and accurate.
Facilitate appropriate clinical documentation to ensure that level of services and acuity of accurately reflected in the medical record.
Use your extensive knowledge of documentation requirements and guidelines in accordance with Coding Clinic to improve the overall quality and completeness of clinical documentation by performing admission/continued stay reviews using clinical documentation guidelines.
Process discharges by updating the Severity/Complexity of Services Worksheet to reflect any changes in status, procedures/treatments, and conferring with physician to finalize diagnosis.
Educate internal staff on clinical documentation guidelines and conduct follow up reviews of clinical documentation to ensure points clarified with the physician have been recorded in the patient?s record. Reviews clinical issues with the coding staff to assign a working DRG.
Participate in patient care conference/case conferences to identify needs for clinical documentation. Generate accurate reports for the client upon the close of each phase of an engagement.
Requirements
RN, RHIA or RHIT, and CCS
Associate?s Degree in a relevant field preferred or combination of equivalent education and experience
Inpatient coding experience with report writing expertise
Preferred coding skills: prospective payment methodologies
CDI program implementation experience preferred
Must successfully pass a coding skills assessment
Knowledge of medical terminology, ICD-9-CM and CPT-4 codes
Must be detail oriented and have the ability to work independently
Computer knowledge of MS Office, Excel, Adobe, MS Word, and MS PowerPoint
Must display excellent interpersonal skills
Ability to write reports independent of management review
Colleague is responsible for maintaining continuing education credits as required by credentialing organization.
Precyse is a leading, national provider of Health Information Management services and technologies. Health networks, hospitals and physician groups utilize our services to solve a wide range of HIM issues related to physician satisfaction, quality of care, revenue cycle management, and compliance and EHR enablement.
Why work for Precyse?
Precyse is leading the movement toward HIM Innovation through the implementation of our cutting edge technology and HIM transformation services to the evolving health care market. We are a progressive, established company with a strong commitment to our colleagues.
| Location: |
Far Rockaway, NY
United States
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THIS JOB HAS EXPIRED