Clinical Documentation Improvement Specialist

Hannibal Regional Hospital • Hannibal, MO

49d

About The Position

Responsible for reviewing inpatient and/or outpatient medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient. Demonstrates a sufficient knowledge of clinical documentation, coding requirements, and DRG guidelines or CPT/E#M coding guidelines depending on role. Educates the patient care team regarding clinical documentation and coding best practices.

Requirements

• Graduate from an accredited Nursing program with current RN license and two (2) years nursing experience OR
• Graduate of a Health Information Management program with either RHIT/RHIT/CCS and two (2) years coding experience OR
• Foreign medical graduate, MBBS/MD license, and two (2) years physician experience

Responsibilities

• Review inpatient and/or outpatient medical records
• Facilitate and obtain appropriate physician documentation
• Support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient
• Educate the patient care team regarding clinical documentation and coding best practices

What This Job Offers

• Industry: Hospitals
• Education Level: No Education Listed
• Number of Employees: 251-500 employees