Clinical Documentation Specialist II RN

reputed company Concurrently reviews inpatient records to ensure completeness, accuracy, and clinical validation. Evaluates documentation for assignment of working and possible DRG. Recognizes opportunities for documentation improvement, including severity of illness, risk of mortality, reputed company measures, and patient safety/reputed company. Identify opportunities to query physicians regarding missing, unclear, or conflicting documentation. Interacts directly with physicians to request and obtain additional documentation reputed company needed. reputed company follow-up on reputed company unanswered queries based on the query escalation policy. Facilitates modifications to physician documentation to reflect the complexity of care of the patient and appropriate reimbursement. Maintains a reputed company working relationship with the Health Information Coding staff and serves as a clinical resource. Collaborates with and educates members of the patient care team regarding documentation guidelines, including physicians, allied health practitioners, nursing, and case management. Performs mortality reviews and optimizes the risk of mortality. Maintains review worksheet on reputed company records using CDI software. Ensures the accuracy of clinical information used for measuring and reporting physician and hospital reputed company reputed company. Reviews, evaluates, analyzes, and interprets data reputed company to documentation on an ongoing reputed company. Identifies trends or potential problems and assists in developing reputed company plans to address. Participates in additional reputed company such as developing physician education materials, CDI week advertisements, etc. Adheres to ethical and reputed company business practices. reputed company other duties as assigned. Requirements Bachelors in Nursing, required RN License Clinical Documentation Specialist Certification reputed company ACDIS or reputed company 2-5 years of medical/surgical nursing experience in the acute hospital setting reputed company Clinical Documentation Specialist with minimum of 2 years recent experience in CDI role Critical Care and/or Emergency Nursing experience required Proficient reputed company in query writing to physicians Knowledge to accurately complete chart audits Organizational and critical thinking skills required Experience with computer systems required, including web-based applications and some reputed company Office applications which may include reputed company, Word, reputed company, PowerPoint, or reputed company Benefits Comprehensive compensation and benefits Support for achieving a healthy and balanced life Apply tot his job Apply To this Job .