Review clinical documentation to ensure accurate representation of severity of illness, expected risk of mortality, and complexity of care.
This role involves extensive record review and collaboration with physicians, HIM/coding professionals, nursing staff, and case management. The specialist educates the patient care team on documentation guidelines and deficiencies and reports to the Clinical Documentation Improvement Director.
Requirements & Qualifications
- Associate degree in nursing, Health Information Management, or a related field required
- Bachelor’s degree preferred
- 5 years of recent hospital experience, preferably in an ICU, CCU, or complex Med/Surg environment required
- Previous experience in clinical documentation improvement, utilization management, precertification, coding, Medicare regulations, quality assurance, or a related area preferred
- Prior Epic experience preferred
- Must have one of the following upon hire:
- RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure
- CCS - Certified Coding Specialist
- RHIT - Registered Health Information Technician
- RHIA - Registered Health Information Administrator
- CCDS - Certified Cardiac Device Specialist
Benefits & Perks
- Wellness programs
- Comprehensive total benefits and rewards
- Support for planning for the future
Location
Atlanta, Georgia, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
4 weeks ago