Clinical Doc Improvement Spec

Piedmont Healthcare•Atlanta, GA

16h

About The Position

At Piedmont Healthcare, you’ll love a shared purpose, be motivated to be your best, and be recognized for your contributions. Piedmont Healthcare leaders are in your corner and invested in your success. Our wellness programs and comprehensive total benefits and rewards will meet your needs for today and help you plan for the future.

Requirements

Associate’s Degree in nursing, Health Information Management or a related field
5 years of recent hospital experience/practice, preferably in an ICU, CCU or complex Med/Surg environment
Must have one of the following: RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure or CCS-Certified Coding Specialist or RHIT - Registered Health Information Technician or RHIA - Registered Health Information Administrator or CCDS - Certified Cardiac Device Specialist

Nice To Haves

Bachelor’s degree
Previous clinical documentation improvement experience, utilization management, precertification, coding, Medicare regulations, quality assurance, or related area
Prior experience with Epic

Responsibilities

Reviewing clinical documentation to facilitate the accurate representation of the severity of illness, expected risk of mortality, and complexity of care by improving the quality of the physician's clinical documentation.
This work involves extensive record review and interaction with physicians, HIM/Coding professionals, nursing staff, and case management.
Through collaboration with Coding professionals, educates the patient care team on changes in documentation guidelines and/or documentation deficiencies noted.
The patient care team includes but is not limited to: attending physicians, consultants, physician extenders, allied health practitioners, nursing, and case management.