Homeoffice Clinical Document Improvement Specialist chez Archildrens

ARKANSAS CHILDREN'S IS A TOBACCO FREE WORKPLACE. FLU VACCINES ARE REQUIRED. ARKANSAS CHILDREN'S IS AN EQUAL OPPORTUNITY EMPLOYER. ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION FOR EMPLOYMENT WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, NATIONAL ORIGIN, AGE, DISABILITY, PROTECTED VETERAN STATUS OR ANY OTHER CHARACTERISTIC PROTECTED BY FEDERAL, STATE, OR LOCAL LAWS.

This position has been designated as safety sensitive and cannot be filled by a candidate who is a current user of medical marijuana.

CURRENT EMPLOYEES: Please apply via the internal career site by logging into your Workday Account (https://www.myworkday.com/archildrens/)and search the "Find Jobs" report.

Work Shift:

Day Shift

Time Type:

Full time

Department:

CC017060 Health Information Management

Summary:

Monday to Friday, full-time — remote (must reside in Arkansas). **Training will be onsite**.


Ensures overall quality and completeness of clinical documentation. Facilitates clarification of clinical documentation through extensive concurrent interaction with physicians, nursing staff, other patient caregivers, and medical records coding staff to support appropriate reimbursement and ensure that clinical severity is captured for the level of service rendered to all patients. Supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes. Educates/trains all members of the patient care team on an ongoing basis.

Additional Information:

Monday to Friday, Full-time — Remote (Must reside in the state of Arkansas) **Training will be onsite**       

Required Education:

Associate Degree

Recommended Education:

Bachelor's Degree

Required Work Experience:

Related Field - 3 years of experience

Recommended Work Experience:

Required Certifications:

1 of the following certifications is required -  

Recommended Certifications:

Description

1. Facilitates appropriate clinical documentation by ensuring the overall quality and completeness by performing in-house patient medical record documentation assessments following guidelines. Reviews charts and completes clinical documentation improvement worksheet within 24 hours of admission. Identifies the most appropriate principle diagnosis and CC’s to accurately reflect severity of illness in compliance with government regulations.

2. Confers with coding specialists to ensure appropriate working DRG and completeness of supporting documentation. Confers with physicians face to face and/or via query to clarify documentation in the record, obtain needed documentation, present opportunities and educate regarding the significance of appropriate documentation needed to support the clinical severity of the patient. Conducts follow-up reviews of clinical documentation with physicians queried to ensure points of clarification have been recorded in the patient’s chart. Processes discharges by updating clinical documentation improvement worksheet to reflect any changes.

3. Effectively identifies DRG payor issues and improves the overall quality and completeness of clinical documentation; tracks responses and trends in compliance with the clinical documentation improvement program and reports findings. Advises co-workers on identified documentation issues and guidelines. Follows processes regarding ongoing review and follow-up of documentation goals and issues to be addressed.

4. Conducts ongoing clinical documentation management program education for new staff, including new clinical documentation specialists, physicians, nursing staff and allied health professionals.

5. Performs other duties as assigned.

  

Postuler maintenant