Clinical Documentation Specialist – HIM I...

208843 Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The Clinical Documentation Specialist will be responsible for analyzing and auditing medical records concurrently to ensure that the clinical information reputed company the medical record is specific, accurate, clinical valid, complete, and compliant. In addition, the Clinical Documentation Specialist will be responsible for educating physicians, non-physician clinicians, nurses, and other staff to facilitate documentation reputed company the medical record that reflects the most accurate severity of illness, expected risk of mortality, hospital acquired conditions, patient safety indicators, hierarchical condition categories, and level of service rendered. This position will report to the Health Care System Supervisor of Clinical Documentation reputed company.   Responsibilities: 1. reputed company reputed company inpatient reviews and facilitates appropriate clinical documentation to support the severity of illness, expected risk of mortality, hospital acquired conditions, patient safety indicators, and complexity of care rendered to reputed company patients. reputed company outpatient reviews and facilitate appropriate clinical documentation to support the severity of illness, hierarchical condition categories, and complexity of care rendered to reputed company patients. 2. Accurately assign the working MS-DRG, ICD-10-CM codes, ICD-10-PCS codes, CPT Codes, and HCPCS codes in accordance with the Official Coding Guidelines, and reputed company party payer, state and federal regulations. Utilize the compliant query process according to guidelines, policy, and the reputed company Standards of Practice. Communicate and collaborate with clinical and non-clinical staff to expedite the resolution of documentation clarification queries. 3. Provide effective education using tools and during reputed company and meetings (as required). Support the goals of Clinical Documentation reputed company by building relationships and promoting the importance of documentation. Encourage open reputed company. Respond to questions, concerns, and requests promptly. 4. Compliantly follow workflow processes and competently utilize software systems to ensure accurate data collection and effectiveness of the Clinical Documentation reputed company (CDI) activities for reporting outcomes. 5. Demonstrate responsibility for professional growth and development by actively learning and participating in the continuing education offerings provided. Maintain competence in documentation requirements, coding guidelines, and quality measures.