Clinical Documentation Specialist Precyse Solutions
THIS JOB HAS EXPIRED Job Details
Required Skills: None Listed
Specialty Requirements: None Listed
Employment Type: Full-Time
Hours Per Week: 40/week
Relocation Covered: No
Amount of Travel: No
Work Type: On-Site, Local
Manages Others: None
The CDI Specialist is responsible for facilitating the improvement in the overall quality and completeness of medical record documentation. Obtains 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. Will facilitates appropriate clinical documentation to ensure that level of services and acuity of accurately reflected in the medical record.
Demonstrates knowledge of documentation requirements and guidelines in accordance with Coding Clinic and improves the overall quality and completeness of clinical documentation by performing admission/continued stay reviews using clinical documentation guidelines. Processes discharges by updating the Severity/Complexity of Services Worksheet to reflect any changes in status, procedures/treatments, and conferring with physician to finalize diagnosis. Will be responsible for educating internal staff on clinical documentation guidelines and conducts 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. Participates 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.
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?
When you work with Precyse, you are working with some of the best and brightest in the industry! Our Senior Leadership team is comprised of tenured thought leaders and our Colleagues are respected as experts. It is an exciting time to work with Precyse! We are working with some of the largest hospital systems in the Nation assisting them with the ICD-10 Education of their staff, the implementation of technology and the people needed to achieve their goals. Help deliver our vision: a world where meaningful information helps save time, money & lives. Work with a leader in HIM technology and services; propel your career to the next level!
Our commitment to you: Precyse University, 24X7 technical support, comprehensive benefit package, work from home and travel opportunities, computer equipment provided as needed, a highly accomplished management team, Colleague recognition programs and competitive compensation.
||Hagerstown, MD |
THIS JOB HAS EXPIRED