Clincal Documentation Improvement Specialist Case Management Job in Butler 16001, Pennsylvania US
CLINICAL
DOCUMENTATION
IMPROVEMENT SPECIALIST
CASE MANAGEMENT
FULL-TIME
The Clinical Documentation Improvement Specialist is an experienced nurse with clinical skills and knowledge in the application of documentation compliance necessary to support patient severity and corresponding organizational reimbursement. There is an expectation of a high level of understanding of the DRG reimbursement process and ICD-9 CM coding guidelines with expectation for development of expertise with the ICD-10 system prior to its implementation in CY 2013. This nurse is responsible for the improvement in overall quality, accuracy and completeness of clinical documentation, and assures all documentation describes each patient's clinical condition as accurately as possible and supports the level of service provided. The incumbent assists to facilitate the required level of detail in clinical documentation by educating and communicating extensively with the medical staff, other members of the healthcare team, and Medical Records coding staff and demonstrates improvement in metrics such as CMI, Core Measurements compliance, volume of Medical Records coding queries, etc. Requires current PA RN license and 3 yrs of current medical/surgical/acute are experience or two years Inpatient coding experience. Prefer BSN and Clinical Documentation Improvement (CDI), Certified Coding Specialist (CCS), RHIT, or RHIA certification. Selected candidate must successfully complete the Association of Clinical Documentation Improvement Specialists (ACDIS) program within six months of hire and maintain ACDIS credentials.
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