Job Summary :
Job Description
Essential Responsibilities:
- Facilitates appropriate clinical diagnoses are captured as clinically support by the charts documentation labs tests and other documentation.
- Ensures the accuracy and completeness of clinical information used for measuring physician and facility outcomes
- May assist in developing ICD10 compliant query scripting for the Coding & CDI programs.
- Provides onsite or webinarbased support and clinical education as necessary.
- Reviews patients clinical findings with Coding or Quality staff as necessary.
- Identifies learning opportunities for multidisciplinary staff as it relates to the most accurate documentation reflected in the patients chart.
- Conducts initial and follow up reviews on patient charts as assigned by the EHR system.
- Maintains professional competencies as required by professional associations.
- Maintains a dynamic and professional communication with providers coders quality and other staff members.
- Adheres to the professional standards of ethical coding.
- Please note this job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the associate for this job. Duties responsibilities and activities may change at any time with or without notice.
Education/Experience:
- Associates Degree; preferably in a health care field
- 12 years of experience of inpatient coding in an acute care hospital setting
- 12 years working in an inpatient setting as a Clinical Documental Specialist
Licenses or Certifications:
- Registered Nurse (RN) or Registered Health Information Technician (RHIT)
Work Shift :
Day Shift (United States of America)
Scheduled Weekly Hours :
0
Required Experience:
Unclear Seniority