Compliance Document Improvement Specialist
Where
- Charlotte, NC
What you'll be doing
- Reviews selected populations of inpatient medical records to identify the principal and secondary diagnoses. Appropriately assigns the MS-DRG that most accurately reflects the severity of illness of the patient based upon the clinical evidence documented at the time of the record review. Interacts with the physician and other designated members of the healthcare team to ensure that vague or incomplete documentation is clarified within the medical record in a timely manner. Works with other departments such as coding, corporate compliance, quality, and finance to support corporate goals. Participates in the ongoing education of physicians, nurse practitioners, physician assistants and other healthcare team members in an effort to identify medical record documentation improvement opportunities employing conflict resolution skills as necessary. Ensures that all written requests to physicians for additional documentation support corporate compliance policies. Demonstrates knowledge and understanding of severity based DRG systems, all patient refined and Medicare severity (AP-DRG) and medical severity diagnostic related group system (MS-DRG). Performs other duties as assigned.
What your background should be
- Registered nurse North Carolina licensure required. Obtain and maintain CCDS or coding certification within 2 years of employment. 5 years of related nursing experience preferred. Clinical experience within the assigned population. Extensive knowledge of disease processes and clinical outcomes. Case management experience or background helpful. Strong financial and analytical skills preferred. Word, Outlook, Excel experience preferred.
Required Schooling / Training
- Bachelor degree preferred.
Who is the client company
- Concern about hospital & healthcare services.
- If you are interested in this position, send your resume to apply@kochdavis.com
