Present on admission diagnoses. Identifies quality issues and reports to the responsible party. Is proficient in more complex decision-making with high degree of accuracy.
Reviews and enters information in both epic and 3m 360 as required. Proficient in using these software systems.
Ensures accuracy by reviewing inpatient charts every 24-48 hours as a follow-up. Identifies documentation that reflects the severity, acuity, quality issues and resource consumption and updates his/her findings in 3m 360 software. Proficient in quality and production.
Provides timely internal/external customer service in a cooperative, professional, and respectfu
Benefits
Health insurance
Additional Information
Hello,
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Thank you,
Human Resources
Important Applications Instructions:
Please complete this application in entirety by providing all of your work experience, education and certifications/
license. You will be unable to edit/add/change your application once it is submitted.
Job Requisition ID:
R00048394
Job Category:
Nursing
Organization:
Rev Cycle - HIM CDI
Location/s:
Central Billing Office-Clinton
Job Title:
Clinical Documentation Specialist II - Revenue Cycle
Job Summary:
To support and review the inpatient medical record in order to facilitate improvement in overall quality, completeness, clinical severity, and accuracy of inpatient clinical documentation for DRG based or APR based payor population for specific departments or areas. To obtain and promote appropriate clinical documentation through extensive interaction with physicians and other members of the healthcare team.
Education & Experience
Five (5) years of clinical nursing in Acute Care, Utilization Review, Case Management, Quality Management and/or Hospital-based Clinical Documentation experience. Hospital based Clinical Documentation experience preferred.
Certifications, licenses or registration required:
Valid RN license. CCDS (Certified Clinical Documentation Specialist) preferred upon hire, but is required within three years of hire.
Knowledge, Skills & Abilities
Knowledge of evidence-based clinical guidelines across a wide variety of conditions and age groups. Knowledge of resource/utilization management. Skill in the use of personal computers and related software applications. Ability to manage multiple priorities under time constraints; ability to analyze and solve problems.
Understanding of cost and quality issues. Excellent verbal and written communication skills. Interpersonal skills to interact with a wide range of constituencies. Decision-making skills.
Demonstrated ability to perform and maintain working relationships within the department and across all business units to foster a team environment. Effective written and verbal communication skills required. Healthcare revenue cycle experience preferred.
Proficient knowledge and experience in Microsoft office Suite (Excel, PowerPoint, Word & Outlook).
Ummc · Clinton, MS