Clinical Documentation Specialist
Clinical Documentation Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Job Summary
Identifies factors influencing the complexity and severity of patient diagnoses and/or procedures. Works collaboratively with providers to ensure overall specificity accuracy and completeness of clinical documentation to support the highest integrity of the medical record.
Essential Functions
Utilizes clinical expertise clinical documentation improvement practices and facility specific tools for best practice and compliance with the mission and vision of the revenue cycle.
Provides daily clinical evaluation of all documentation by the Medical Staff and healthcare team lab results diagnostic information and treatment plans to assure the appropriate clinical severity is captured for the level of service rendered.
Reviews and makes recommendations for improvement to the overall quality integrity and completeness of clinical documentation by utilizing knowledge of DRGbased payor issues clinical documentation guidelines policies and procedures.
Guides supports and sponsors the Clinical Documentation Improvement Program efforts. In partnership with Clinical Coders ensures patient classification and DRG assignment are supported by provider documentation and in compliance with rules regulations and guidelines.
Communicates with providers and healthcare team members to clarify documentation necessary for complete and accurate coding for proper reimbursement via verbal or electronic query practices.
Partners with HIM and Revenue Cycle professionals in third party payer DRG audits and appeals.
Educates members of the healthcare team about clinical documentation guidelines coding and quality measures via 1:1 rounding unit rounds presentations and providing documentation tips.
Qualifications
Required
Bachelors degree in Nursing.
3 years of relevant experience Nursing experience required in an acute inpatient hospital setting.
1 of 4 Certification required
LICRegistered Nurse (RN) STATEMI State of Michigan.
LICPhysician (MD) STATEMI State of Michigan.
CRTClinical Documentation Specialist Certified (CCDS).
CRTDocumentation Improvement Practitioner Certified (CDIP).
Preferred
Preferred Medical Doctor Degree (M.D. MD with CCDS or CDIP.
About Corewell Health
As a team member at Corewell Health you will play an essential role in delivering personalized health care to our patients members and our communities. We are committed to cultivating and investing in YOU. Our topnotch teams are comprised of collaborators leaders and innovators that continue to build on one shared mission statement to improve health instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.
How Corewell Health cares for you
Comprehensive benefits package to meet your financial health and work/life balance goals. Learn more here.
Ondemand pay program powered by Payactiv
Discounts directory with deals on the things that matter to you like restaurants phone plans spas and more!
Optional identity theft protection home and auto insurance pet insurance
Traditional and Roth retirement options with service contribution and match savings
Eligibility for benefits is determined by employment type and status
Primary Location
SITE Beaumont Service Center 26901 Beaumont BlvdDepartment Name
Concurrent Clinical Assurance Program (CCAP)Employment Type
Full timeShift
Day (United States of America)Weekly Scheduled Hours
40Hours of Work
7:00 a.m. to 3:30 p.m.Days Worked
Monday to FridayWeekend Frequency
N/ACURRENT COREWELL HEALTH TEAM MEMBERS Please apply through Find Jobs from your Workday team member account. This career site is for NonCorewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members patients visitors and community. We require a drugfree workplace and require team members to comply with the MMR Varicella Tdap and Influenza vaccine requirement if in an onsite or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process to perform the essential functions of a job or to enjoy equal benefits and privileges of employment due to a disability pregnancy or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race color national origin sex disability age religion genetic information marital status height weight gender pregnancy sexual orientation gender identity or expression veteran status or any other legally protected category.
An interconnected collaborative culture where all are encouraged to bring their whole selves to work is vital to the health of our organization. As a health system we advocate for equity as we care for our patients our communities and each other. From workshops that develop cultural intelligence to our inclusion resource groups for people to find community and empowerment at work we are dedicated to ongoing resources that advance our values of diversity equity and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
