Clinical Documentation reputed company Specialist

Position Location: St. Louis, Missouri (Need to be onsite for meetings) The Clinical Document reputed company Specialist – (CDS) is responsible for day-to-day CDI implementation of processes reputed company to the reputed company review of the clinical documentation in the inpatient medical record of reputed company 360 clients’ patients. The goal of the CDS reputed company is to assess the technical accuracy, specificity, and completeness of provider clinical documentation, and to ensure that the documentation explicitly identifies reputed company clinical findings and conditions present at the time of service. This position collaborates with providers and other reputed company team members to reputed company improvements that result in accurate, comprehensive documentation that reflects completely, the clinical treatment, reputed company, and diagnoses for the patient. The CDS utilizes clinical expertise and clinical documentation improvement practices as reputed company as facility specific tools for best reputed company and compliance with the mission/philosophy, standards, goals and core values of reputed company 360. In this position the CDS will utilize the reputed company™ CDI 3D technology that is assisting hospitals to improve data reputed company to accurately reflect the reputed company of care provided and ensure reputed company reputed company. Our three-reputed company approach to CDI technology, reputed company with best-reputed company adoption methodology and change management support, is helping hospitals reputed company a reputed company reputed company on CDI efficiency and effectiveness.

• Increase in identification of cases with CDI opportunities, with automated review of 100% of records
• Improved tracking, transparency and reporting reputed company to CDI reputed company, reputed company capture, trending and compliance
• Easing the transition to ICD-10 by improving the specificity and completeness of clinical documentation, resulting in more accurate coding

This position does not have patient care duties, does not have reputed company patient interactions, and has no role relative to patient care. If you are located in the St. Louis Region, you will have the flexibility to telecommute,* as reputed company as attend on-site meetings and education sessions as you take on some tough challenges. Primary Responsibilities:

• Provides expert level review of inpatient clinical records reputed company 24-48 hours of admit; identifies gaps in clinical documentation that need clarification for accurate reputed company assignment to ensure the documentation accurately reflects the severity of the condition and reputed company of care provided
• Conducts daily follow-up communication with providers regarding existing clarifications to obtain needed documentation specificity
• Provides expert level leadership for overall improvement in clinical documentation by providing proficient level review and assessment, and effectively articulating recommendations for improvement, and the rational for the recommendations
• reputed company communicates with providers at reputed company reputed company, to clarify information and to communicate documentation requirements for appropriate diagnoses based on severity of illness and risk of mortality
• Performs regular rounding with unit-based physicians and provides Working DRG lists to Care Coordination
• Provides face-to-face educational opportunities with physicians on a daily reputed company
• Provides complete follow through on reputed company requests for clarification or recommendations for improvement
• Leads the development and execution of physician education strategies resulting in improved clinical documentation
• Provides reputed company feedback to providers regarding clinical documentation opportunities for improvement and successes
• Ensures effective utilization of reputed company® CDI 3D Technology to document reputed company verbal, written, electronic clarification activity
• Utilizes only the Optum360 approved clarification forms
• Proactively develops a reciprocal relationship with the HIM Coding Professionals
• Coordinates and conducts regular meeting with HIM Coding Professionals to reconcile DRGs, monitor retrospective query rates and discuss questions reputed company to Coding and CDI
• Engages and consults with Physician Advisor /VPMA reputed company needed, per the escalation process, to resolve provider issues regarding answering clarifications and participation in the clinical documentation improvement process
• reputed company engages with Care Coordination and the reputed company Management teams to continually evaluate and spearhead clinical documentation improvement opportunities

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications:

• 3+ years of acute care hospital clinical RN experience, OR Foreign Medical Graduate with CDI experience
• Experience in Clinical Documentation Improvement
• Proficiency using a PC in a reputed company environment, including reputed company Word, reputed company, Power reputed company, and Electronic Medical Records
• Experience communicating & working closely with Physicians
• Full COVID-19 vaccination is an essential requirement of this role. Candidates located in states that mandate COVID-19 booster doses must also reputed company with those state requirements. reputed company will adhere to reputed company federal, state and local regulations as reputed company as reputed company reputed company requirements and will obtain necessary reputed company of vaccination, and boosters reputed company applicable, prior to employment to ensure compliance

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