What are the responsibilities and job description for the Clin Doc Improv Spec RN position at MHC00-McLaren Health Care?
Clin Doc Improv Spec RN
- (21011714)
**Partial Remote**The Clinical Documentation Improvement (CDI) Specialist is responsible for facilitating improvement of the overall quality and completeness of medical record documentation. CDI Specialist role is to facilitate quality outcomes and revenue integrity through capture of accurate, complete, and compliant documentation through coordination, collaboration, and communication with related disciplines to address and integrate opportunities for documentation improvement and provider education.
Essential Functions and Responsibilities:
- Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and hospital outcomes.
- Performs daily chart reviews seeking opportunity to clarify (query) documentation with the health record to capture accurate, complete and compliant documentation. Assigns Working DRGs & ICD10 CM/PCS codes.
- Facilitates necessary documentation in the medical record through extensive interaction with physicians, nursing staff, other patient caregivers, and collaboration with HIM/Coding staff to ensure the most appropriate reimbursement is achieved for the level of service rendered to all patients.
- Educates all members of the patient care team regarding clinical documentation needs, changes to clinical documentation guidelines, coding and reimbursement issues, and pay for performance documentation requirements on an on-going basis.
Required:
- Current Registered Nurse License in the State of practice
- Minimum 5 years of acute hospital care experience
- Certified Clinical Documentation Specialist (CCDS), or obtain certification when eligible as defined by the Association of Clinical Documentation Improvement Specialists – ACDIS, and maintenance of continuing education requirements
- Member (or obtain within 1 year of service) with the Association of Clinical Documentation Improvement Specialists (ACDIS)
Preferred:
- CDIP certification
- Experience with CDI Software Tools (i.e. 3M 360, JATA, ChartWise, other)
- Knowledge of coding/documentation and billing regulations related to commercial insurance, Medicaid and Medicare. (i.e., APR-DRG, MS-DRG, Medicare, Medicaid & Managed Care)
- Experience in Utilization Management/Case Management, Critical Care, and patient outcomes/quality management preferred. Inpatient coding experience desired.
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
Primary Location Michigan-Flint
Job Nurse
Organization MHC00-McLaren Health Care
Employee Status Regular
Job Type Standard
Job Level Non-Management
Schedule Full-time
Shift Day Job
On Call No
Weekends No
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