Clinical Documentation Specialist

Conifer Health Solutions • Nacogdoches, TX

1d • 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.

Requirements

• Current, valid RN license and relevant education.
• Three years clinical experience in an acute setting.
• Registered nurse.
• Licensed Masters Social Worker.
• Required certifications to be completed by 3 months of employment.

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.
• Play a significant role in reporting quality of care outcomes.
• Obtain accurate and compliant reimbursement for acute care services.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 1,001-5,000 employees