Specialist Clinical Document Improvement - DAY SHIFT - Clinical Documentation Improvement

Penn State Health Corporation

Location : US:PA:Hershey
Work Type : Full Time
FTE : 1.00
Shift : Day
Hours : 8:00a - 4:00p

SUMMARY OF POSITION :

Responsible for extensive collaboration with physicians, nursing staff, other patient caregivers, and medical records coding staff to improve quality and completeness of documentation of care provided and coded. Facilitates concurrent modifications to clinical documentation to insure commensurate reimbursement of clinical severity and services rendered to patients Conduct medical record audits to ensure that all services and assessments of the patient's condition were reported in accordance with the Uniform Hospital Discharge Data Set (UHDDS), Inpatient Prospective Payment System (IPPS), and Outpatient Prospective Payment System (OPPS) conventions. Provide education and expert guidance to physicians and coders regarding documentation & facility coding requirements as it relates to proper reimbursement and capture severity of illness and intensity of service via regular and ongoing training education programs.

MINIMUM QUALIFICATIONS:

Bachelor's Degree in Nursing

2 years acute care experience required

Currently licensed to practice as a registered nurse by Pennsylvania Board of Nurse Examiners required

KNOWLEDGE, SKILLS, & ABILITIES:

Advanced clinical expertise and extensive knowledge of complex disease processes with a broad clinical experience in an inpatient setting required

PREFERRED QUALIFICATIONS:

Masters Degree preferred

Training and development background preferred

This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities.

Penn State Health is fundamentally committed to the diversity of our faculty and staff. We believe diversity is unapologetically expressing itself through every person's perspectives and lived experiences. We are an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information. If you are unable to use our online application process due to an impairment or disability, please call 717-531-8440 between the hours of 7:30 AM and 4:30 PM, Eastern Standard Time, Monday through Friday, email hrsolutions@pennstatehealth.psu.edu or download our Accommodation Instructions for Job Applicants PDF for more detailed steps for assistance.