Description
Aid in ensuring the overall quality and completeness of clinical documentation in patient medical records through extensive concurrent review, and concurrent interaction with physicians, care team members, case management, health information management and others as applicable. Monitors the documentation process and facilitates modifications to documentation to ensure clinical severity and intensity of service is documented to support the level of service and treatment rendered, to ensure accurate description of reasons for admission, patient severity, risk of mortality and conditions present on admission.
Requirements
Experience:
RNs or NPs must have a minimum of 5 years of recent acute care experience in med/surg, critical care or emergency room areas.
HIM professionals must have a minimum of 5 years of recent in-patient, acute care coding experience
RN, RHIT or RHIA with minimum of two years current experience in a clinical documentation specialist role preferred
Utilization Review/Case management experience
Ideal Candidates:
Current Registered Nurse licensure in State of Illinois, preferred
Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT), preferred
Knowledge of Microsoft Word, Outlook, electronic medical record
Knowledge of EPIC patient information systems preferred.
Knowledge of a 3rd party clinical documentation management application preferred
Benefits:
EOE/Minorities/Females/Vet/Disabled
Job seekers will be afforded equal opportunity regardless of their race, ethnicity, veteran status or disability status
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