About The Position

Responsible for improving the overall quality and completeness of clinical documentation. Promotes a partnership between the concurrent clinical reviewers, medical record coders, and physicians to improve documentation and reimbursement for STHS. Facilitates clarification and specificity to clinical documentation through appropriate interaction with physicians, advocating for appropriate reimbursement. Supports the accuracy and completeness of the clinical information used for measuring and reporting physician and hospital outcomes to reflect the patient’s true severity of illness, intensity of care, and risk of mortality. Educates all members of the health care team on an ongoing basis.

Requirements

  • Excellent written and verbal communication skills.
  • Excellent critical thinking skills and must be detail-oriented.
  • Knowledge of age-specific needs and elements of disease process and related procedures.
  • Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes.
  • Ability to work independently in a time-oriented environment.
  • Computer literacy.
  • Must demonstrate commitment and adherence to STHS’s Compliance Program and Code of Conduct through compliance with all policies and procedures, the Code of Conduct, attendance at required training and immediately reporting suspected compliance issue(s) to the Compliance Officer.

Nice To Haves

  • Working knowledge of Medicare reimbursement system and coding structures.

Responsibilities

  • Improving the overall quality and completeness of clinical documentation.
  • Promoting a partnership between concurrent clinical reviewers, medical record coders, and physicians to improve documentation and reimbursement for STHS.
  • Facilitating clarification and specificity to clinical documentation through appropriate interaction with physicians, advocating for appropriate reimbursement.
  • Supporting the accuracy and completeness of clinical information used for measuring and reporting physician and hospital outcomes to reflect the patient’s true severity of illness, intensity of care, and risk of mortality.
  • Educating all members of the health care team on an ongoing basis.
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