Clinical Documentation Coordinator - Full-Time (80 hours per pay period)

Responsibilities

• Analyzes and interprets clinical data to identify gaps, inconsistencies, and/or opportunities for improvement in the clinical documentation and queries the provider using concurrent query process following ACDIS/AHIMA Guidelines for Compliant Query Writing.
• Acts as a liaison between the Coding Department and the Clinical Documentation Specialist to reconcile discrepancies in code and/or DRG assignment
• Communicates findings of secondary reviews to respective Clinical Documentation Specialist for follow-up and query initiation.
• Collaborative interaction with physicians and/or other clinicians to enhance understanding of the CDI program goals; ensure the medical record can be coded accurately in order to accurately reflect patient severity of illness and risk of mortality
• Collaborate with other clinical disciplines (i.e. quality, case management etc.) and members of the coding department to ensure high quality clinical documentation and efficient, timely coding of the medical record.
• Shift
• First Shift
• Time Type
• Full time
• Sche

Requirements

• Education/Skills
• Bachelor's degree required
• Graduation from accredited School of Nursing; BSN or bachelor's degree in health-related field preferred
• Minimum of (3-5) years as a Clinical Documentation Integrity Specialist required.
• Exhibits strong clinical, critical thinking skillset
• Experience with encoder and DRG assignments (MS and APR)
• Maintains working knowledge of official knowledge of Official Coding Guidelines, Coding Clinic and federal updates to the DRG system
• Licenses, Registrations, or Certifications
• Currently licensed or licensed by endorsement as a Registered Nurse, MD or MD equivalent.
• CDIP or CCDS Certification required or obtained within six months.

Benefits

Additional Information

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you're ready for a rewarding new career, join Team Bronson and be part of the experience. Location BHG Bronson Healthcare Group Title Clinical Documentation Coordinator - Full-Time (80 hours per pay period) CDI Second Level Reviewer (SLR) is a professional CDI with a strong clinical knowledge base and advanced understanding of DRG documentation requirements who works under the supervision of the CDI manager. Responsibilities include secondary clinical chart reviews, resolution of DRG discrepancies, and education to clinical staff regarding opportunities for diagnosis clarification, principal diagnosis accuracy and improvement of capture of additional comorbid conditions. The second level reviewer will conduct concurrent and retrospective medical record reviews on defined patient populations to identify opportunities to improve accuracy of documentation and collaborate with the coding department to assure documentation is clinically appropriate, accurately reflects the severity of illness for the patient, and is reflective of current CMS standards.

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