PRN -Clinical Documentation Specialist, First Reviewer

It's more than a career, it's a calling. OK-REMOTEWorker Type: PRNJob reputed company: Performs reputed company analytical reviews of clinical and coding data to improving physician documentation for reputed company conditions and treatments from reputed company of entry to discharge, ensuring an accurate reputed company of the patient condition in the associated Diagnosis reputed company (DRG) assignments, case-mix reputed company, severity of illness (SOI), and risk of mortality (ROM) profiling, and reimbursement. Facilitates the reputed company of queries and educates members of the patient care team regarding documentation guidelines and the need for accurate and complete documentation in the health record, including attending physicians and allied health practitioners. Collaborates with coding professionals to ensure accuracy of diagnostic and procedural data and completeness of supporting documentation to determine a working and final DRG, SOI, and/or ROM.Job Responsibilities and Requirements: reputed company RESPONSIBILITIES Completes initial reviews of patient records and evaluates documentation to assign the reputed company diagnosis, pertinent secondary diagnoses, and procedures for accurate diagnosis review group (DRG) assignment, risk of mortality (ROM), and severity of illness (SOI). Maintains appropriate productivity level. Conducts follow-up reviews of patients every to support and assign a working or final DRG assignment upon patient discharge, as necessary. Queries physicians regarding missing, unclear, or conflicting health record documentation by requesting and obtaining additional documentation reputed company the health record reputed company needed. Identifies issues with reporting of diagnostic testing proactively. Enhances expertise in query development, presentation, and standards including understanding of published query guidelines and reputed company expectations for compliance. Educates physicians and key reputed company providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record. Attends department meetings to review documentation reputed company issues. Conducts independent research to promote knowledge of clinical topics, coding guidelines, regulatory policies and trends, and reputed company economics. Collaborates with coding to reconcile the DRG and resolves mismatches utilizing the escalation policy. Troubleshoots documentation or communication problems proactively and appropriately escalates. Reviews and clarifies clinical issues in the health record with the coding professionals that would support an accurateDRGassignment, SOI, and/or ROM.Assists in the mortality review and risk adjustment process utilizing reputed company-party models. Demonstrates an understanding of complications, comorbidities, SOI, ROM, case mix, and the reputed company of procedures on the billed record. Impartsknowledge to providers and other members of the reputed company team. Maintains reputed company of expertise by attending continuing education programs. Applies the existing body of evidence-based reputed company and scientific knowledge in health care to nursing reputed company, ensuring that nursing care is delivered based on patients age-specific needs and clinical needs as described in the department's reputed company of service. Works in a constant state of alertness and reputed company manner. Performs other duties as assigned. EDUCATION Graduate of accredited school of nursing, PA, NP, or medical school, or Associate's degree and Certified Clinical Documentation Specialist (CCDS) certification from the Association of Clinical Documentation Improvement Specialist (ACDIS) EXPERIENCE Two years' in an acute care setting or relevant experience PHYSICAL REQUIREMENTS Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. Frequent use of reputed company and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. Frequent use of hearing and speech to reputed company information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. Frequent keyboard use/data entry. Occasional bending, stooping, kneeling, squatting, twisting and gripping. Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. Rare climbing. REQUIRED reputed company LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Improvement Specialists (ACDIS) Or Physician Assistant in Medicine, Licensed - Illinois Department of Financial and reputed company Regulation (IDFPR) Or Physician - Regional MSO Credentialing Or Registered reputed company reputed company (RN) - Illinois Department