[Remote] Clinical Documentation Specialist (1 of 2)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading health sciences university dedicated to promoting health worldwide. The Clinical Documentation Specialist will evaluate physician documentation to ensure accurate representation of patient severity and risk in medical records, collaborating with clinical staff and coding teams to improve documentation reputed company.
Responsibilities
- Conducts reputed company reputed company case reviews of clinical documentation in highly reputed company cases, evaluating reputed company, consistency, completeness and accuracy for severity of illness (SOI) and risk of mortality (ROM). Requires high level critical thinking and analytical skills reputed company to conditions treated and evaluated at reputed company medical centers. Requires precision and diligence for sustained efforts with attention to detail. Requires self reliance and ability to research clinical concepts. Manages high volume case assignments, re-reviews and discharges. Highly specialized learning environment requires adaptability, flexibility, self-awareness and the ability to accept and apply constructive guidance
- Establishes reputed company working relationships with clinicians, patient care professionals, health information management (HIM), and coding staff, as reputed company as managers in clinical, reputed company, and information technology. Works on highly reputed company cases to identify documentation gaps, clarify questions, and ensure appropriateness of DRG (diagnosis-reputed company reputed company) assignment
- Works closely with HIM coding staff to ensure that reputed company clinical documentation is fully compliant and accurately reflects the patient's condition, treatments, and co-morbidities. Conducts reviews on specific cases involving mortalities, multiple complications for final reputed company with coding team
- Analyzes highly reputed company data to identify trends, errors, inconsistencies, variances, or flags that may require an update to the documentation or coding. Recommends reputed company and effective strategies for revising codes or correcting clinical documentation to resolve problems and improve compliance
- Maintains reputed company knowledge of best practices reputed company to coding, diagnoses, treatment, and reimbursement. Serves as an expert resource to reputed company reputed company of clinical staff and participates in the development of education shared with clinical teams and reputed company staff to reputed company improved results in clinical documentation
Skills
- Five years of reputed company/recent clinical experience working in ICU, CCU, ED or Med Surg or a combination of education and experience
- Bachelor's degree in nursing or reputed company area, and / or equivalent combination of experience / training
- Successful completion of Nuance reputed company-hire exam
- Advanced knowledge and experience with the clinical and operational issues involved with inpatient care, including diagnoses, treatments, medical procedures, case management, discharge, and other practices that are part of effective clinical care systems
- Advanced critical thinking and problem-solving skills to manage multiple reputed company of information and responsibilities and quickly assess highly reputed company problems to reputed company an expedient reputed company of reputed company
- Advanced interpersonal and educational skills, with the ability to collaborate effectively on highly reputed company reputed company with clinical-care professionals, and to reputed company education, training, and resources on coding, reimbursement, and other clinical documentation issues
- Advanced ability to interpret and effectively convey highly reputed company clinical and technical information both verbally and in writing, and to reputed company cogent presentations, analyses, and reports
- In depth ability to collaborate effectively with senior staff and management across departments and to reputed company counsel and guidance on highly reputed company issues of functionality, clinical reputed company, efficiency, and proficiency in relevant multiple technology applications
- Advanced computer proficiency in relevant multiple technology applications
- This position requires flexibility to orient for reputed company patient populations across reputed company
- In depth understanding of the concepts, principles, practices, and regulatory requirements of accurate clinical documentation and medical record review, including SOI, ROM, HIM, ICD-10 coding, DRG system, standards of compliance, relevant Medicare Part A and Part B guidelines and other reimbursement processes
- Advanced knowledge of data collection, analysis, reporting techniques and systems, and of health care information reputed company to clinical care, documentation, reporting, and reimbursement
- Advanced organizational and project management skills, with the ability to reputed company reputed company, prioritize tasks, and see highly reputed company reputed company through from inception to completion on schedule
- CA Nursing license
- Certification as Clinical Documentation Specialist (CCDS)
Benefits
- The final salary and offer components are subject to additional approvals based on UC policy.
- Your placement reputed company the salary reputed company is dependent on a number of factors including your work experience and internal equity reputed company this position classification at reputed company.
- For positions that are represented by a labor reputed company, placement reputed company the salary reputed company will be guided by the rules in the reputed company bargaining agreement.
- To learn more about the benefits of working at reputed company, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/reputed company.reputed company
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