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Carle HealthNew
Overview
Performs inpatient chart reviews to ensure accurate DRG assignment and clinical documentation that reflects patient severity and risk of mortality. Coordinates with multidisciplinary teams to identify diagnoses and manages the appeal process for DRG denials.
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Compensation
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Posted
New
Cheyenne Regional Medical Center
The specialist improves the quality and completeness of provider documentation through daily interaction with clinical and coding staff. They review medical records to ensure accurate reflection of patient severity and acuity while educating the care team on regulatory guidelines.
12 days ago
UHS
The specialist is responsible for improving the quality and completeness of clinical documentation through concurrent and retrospective reviews of inpatient medical records. They collaborate with physicians and coders to ensure accurate reimbursement and reflect the true severity of patient illness.
21 days ago
Adventist Health
Reviews and assesses patient medical records to ensure accuracy, specificity, and compliance with government regulations. Acts as a liaison between medical staff and the coding department to ensure appropriate clinical diagnosis and severity levels are captured.
$63 - $86 / HOUR
22 days ago
PruittHealth
The role involves providing compassionate care to residents with a focus on skin integrity. The nurse is expected to be a proactive, collaborative team member who maintains professionalism with colleagues.
1 month ago
The role focuses on providing compassionate care to residents with a specific emphasis on skin integrity. The nurse is expected to be a proactive, collaborative team member who maintains professionalism with colleagues.
Covenant Health
Provides direct hands-on care and assistance with activities of daily living for oncology and gynecological surgery patients. Performs technical tasks such as recording vital signs, phlebotomy, and EKG under the supervision of registered nurses.
The Registered Nurse will provide compassionate care to residents while maintaining skin integrity standards. They are expected to be a proactive and collaborative team member who upholds professionalism at all times.
Duke Careers
Improve the quality and completeness of medical records through concurrent interaction with physicians and clinical staff. Ensure accurate depiction of patient severity, risk of mortality, and conditions present on admission in compliance with regulations.
Skills of Central PA
Certified Nurse Aides will use person-centered thinking to understand the needs of individuals with intellectual and developmental disabilities, supporting them with daily living tasks, personal care, and administering medication after training. Responsibilities also include planning activities, driving to community outings, and helping individuals build meaningful community relationships.
$19 - $23 / HOUR
Direct Support Professionals provide daily living assistance, personal care, and medication administration to individuals with intellectual and developmental disabilities. They also facilitate community outings, plan activities, and maintain accurate daily documentation.
$18 - $22 / HOUR
Prisma Health
The specialist conducts concurrent and retrospective reviews of medical records to ensure documentation, including illness diagnosis, is accurate, complete, and consistent, validating diagnosis codes and identifying missing information. This involves employing query processes and reconciliation to accurately reflect patient severity of illness, risk of mortality, and other key metrics, while collaborating with healthcare providers.
The specialist reviews and evaluates patient medical records to ensure documentation specificity, accuracy, coding compliance, and completeness, ensuring adherence to all relevant regulations. This involves performing coding, updating DRG assignments, formulating physician queries, and acting as a liaison between medical staff and the coding department.
$54 - $74 / HOUR
2 months ago
The specialist evaluates and assesses patient medical records to ensure the accuracy, specificity, and completeness of clinical documentation, performing coding and DRG assignment while entering review activity into tracking software. This role involves analyzing documentation, formulating physician queries, and updating DRG assignments based on findings or query responses to maintain compliance.
The specialist evaluates and assesses patient medical records to ensure documentation specificity, accuracy, and compliance with coding requirements and regulations, performing coding and DRG assignment updates based on findings. This role involves formulating and following up on physician queries to ensure accurate clinical diagnosis and severity capture, acting as a liaison between medical staff and the coding department.
$48 - $66 / HOUR
The specialist conducts concurrent and retrospective medical record reviews to validate diagnoses, ensure documentation clarity, completeness, and accuracy, and reflect the patient's severity of illness. This involves employing the query process with providers and completing reconciliation to ensure accurate coding reflective of patient status.
Emanate Health
The Clinical Documentation Integrity Specialist facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other healthcare team members. This role involves communicating with providers via discussion or compliant queries to address unclear or conflicting diagnoses and ensuring documentation accurately reflects the patient’s clinical conditions and level of service.
$69 / HOUR
Connecticut Children's
This role involves identifying opportunities for physician documentation improvement to ensure patient conditions and care are accurately reflected, and working closely with physicians and other providers to clarify documentation and resolve discrepancies. The specialist also collaborates continuously with the hospital Inpatient Coding team and stays current with coding guidelines and documentation standards to support the CDI program.
3 months ago
UF Health
The specialist is responsible for improving inpatient clinical documentation by concurrently reviewing medical records to ensure accuracy based on clinical evidence and ICD-10-CM coding guidelines. This involves identifying documentation enhancement opportunities and querying physicians for clarification to accurately reflect the patient’s severity of illness and risk of mortality.
The specialist is responsible for improving inpatient clinical documentation by concurrently reviewing medical records to ensure accuracy based on clinical evidence and ICD-10-CM coding guidelines. This involves identifying documentation enhancement opportunities and querying physicians to support more specific and accurate diagnoses.
