Clinical Documentation Specialist

Tenet Healthcare CorporationNacogdoches, TX
Onsite

About The Position

The Clinical Documentation Specialist provides clinically based concurrent and retrospective review of inpatient Medicare medical records to evaluate the utilization and documentation of acute care services, which includes facilitation of appropriate physician documentation of care to accurately reflect patient severity of illness and risk of mortality. Plays a significant role in reporting quality of care outcomes and in obtaining accurate and compliant reimbursement for acute care services. Nacogdoches Medical Center Hospital is committed to providing exceptional patient care in a supportive and collaborative environment. As a member of our team, you will have the opportunity to work with advanced technology and be part of a healthcare community dedicated to making a positive impact on the lives of our patients.

Requirements

  • Clinical documentation review experience.
  • Understanding of Medicare medical records.
  • Ability to evaluate utilization and documentation of acute care services.
  • Skill in facilitating physician documentation.
  • Knowledge of patient severity of illness and risk of mortality.
  • Experience in reporting quality of care outcomes.
  • Ability to obtain accurate and compliant reimbursement.

Responsibilities

  • Provide clinically based concurrent and retrospective review of inpatient Medicare medical records.
  • Evaluate the utilization and documentation of acute care services.
  • Facilitate appropriate physician documentation of care to accurately reflect patient severity of illness and risk of mortality.
  • Report quality of care outcomes.
  • Obtain accurate and compliant reimbursement for acute care services.

Benefits

  • Medical, dental, vision, and life insurance
  • 401(k) retirement savings plan with employer match
  • Generous paid time off
  • Career development and continuing education opportunities
  • Health savings accounts
  • Healthcare & dependent flexible spending accounts
  • Employee Assistance program
  • Employee discount program
  • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

No Education Listed

Number of Employees

5,001-10,000 employees

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