Clinical Documentation Integrity Specialist

Eastern Connecticut Health Network Manchester , CT 06040

Posted 5 months ago

POSITION SUMMARY: Responsible for support to the hospital#s clinical documentation review program, that covers the following functions: medical record review, communication and direction of clinical staff to comply with supportive documentation standards; monitoring regulatory/accreditation compliance; staff education and training.Responsible for educating providers about identification of disease processes that reflect SOI, complexity, and acuity in order to facilitate accurate application of code sets.

Demonstrate an understanding of complications, comorbidities, SOI, ROM, case mix, and the impact of procedures on the billed record, as well as the ability to impart this knowledge to providers and other members of the healthcare team. # EDUCATION/CERTIFICATION: Certified Clinical Documentation Improvement Specialist (CCDS) or Certified Documentation Improvement CDIPractioner preferred. Current Connecticut RN license, Medical Graduate or PA, minimum 3-5 years clinical experience or related health care field or equivalent experience.


EXPERIENCE:


Minimum of 1 years working in healthcare Clinical Documentation Improvement.


COMPETENCIES:


Knowledge of care delivery processes and related medical record documentation tools. Ability to work independently in a time oriented environment.

Excellent demonstrated oral, written and communication skills. Working knowledge of medical necessity criteria. Ability to use computer software for managing work files, data collection and data entry.

Physical requirements: Standing, walking, sitting, bending and reaching. Most work performed on the patient care units.

Must have basic computer skills. Perform automated functions that fall within job responsibility.


ESSENTIAL DUTIES and RESPONSIBILITIES:


Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job.# They are intended to be accurate reflections of the principal duties and responsibilities of this position.# These responsibilities and competencies listed below may change from time to time.# Eastern Connecticut Health Network reserves the right to change or assign other duties and responsibilities to this position Facilitate modifications to clinical documentation supporting appropriate reimbursement is received for the level of service rendered to all patient.

Ensure that clinical documentation reflects the level of service rendered to patients in complete, accurate and compliant with the regulations of the Center for Medicare and Medicaid Services Collaborate with providers, case managers, coders, and other healthcare team members to facilitate comprehensive health record documentation that reflects clinical treatment, decisions, diagnoses, and interventions. Aid in identification and proper classification of complication codes (patient safety indicators/hospital-acquired conditions) and medical necessity by acting as an intermediary between coding staff and medical staff Appropriately communicate with physicians regarding documentation opportunities and clinical documentation requirements. Identify patterns, trends, variances, and opportunities to improve documentation review processes.

Ensure the accuracy and completeness of clinical information used for core measures by prompting physicians. Educate all clinicians on clinical documentation opportunities, coding and reimbursement issues, as well as performance improvement methodologies. Conduct follow-up reviews of clinical documentation to ensure points of clarification have been recorded in the patient#s chart.

Comply with HIPAA and code of conduct policies. Review clinical issues with coding staff to assign a working DRG. Serve as a member of the DRG Work Group.

Advise and consult with the electronic health record development team to ensure the enabling of CDI efforts Participate on departmental and hospital committees and assigned task forces, including denials management. Conduct independent research to promote knowledge of clinical topics, coding guidelines, regulatory policies and trends, and healthcare economics Contribute to a positive working environment and perform other duties as assigned or directed to enhance the overall efforts of the organization. *cb



upload resume icon
See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Home Srvs Project Specialist Manchester

Home Depot

Posted Yesterday

VIEW JOBS 1/15/2019 12:00:00 AM 2019-04-15T00:00 POSITION PURPOSE The Home Services Project Specialist (HSPS) is responsible for the sales and marketing of the specific Home Services Install programs within Home Depot stores they are assigned to work. They are to work closely with their Sales Consultant and Sales Managers to generate quality leads for and drive awareness of the programs in store. The HS Project Specialist will also attend store events, home shows, and other lead events when scheduled. This is a part-time entry position requiring an outgoing personality to build strong relationships and excellent customer service skills, and the first step to a career path in sales, retail and or marketing with Home Depot. MAJOR TASKS, RESPONSIBILITES AND KEY ACCOUNTABILITIES 75%-Meets or exceeds established productivity goals by generating quality leads for each Home Services install program assigned. Approaches customers within the store, introducing them to Home Services programs, and pre-qualifying the customer and scheduling a free in home consultation. Provides accurate product information to the customer. 10%-Work with Home Depot store associates and management to maintain a positive working relationship. 5%-Set-up and break down a store display in locations that allow it and help maintain the selling center with needed brochures and materials. Ensure the program displays are clean and literature are in stock for customers. 5%-Attend store events and home shows to promote Home Services business to attendees. 5%-Other job duties as assigned by manager. NATURE AND SCOPE This position reports to Branch Marketing Manager or Sales Manager This position has no Direct Reports ENVIRONMENTAL JOB REQUIREMENTS Environment: Located in a comfortable indoor area. Any unpleasant conditions would be infrequent and not objectionable. Travel: Typically requires overnight travel less than 10% of the time. MINIMUM QUALIFICATIONS Must be eighteen years of age or older. Must be legally permitted to work in the United States. Education Required: The knowledge, skills and abilities typically acquired through the completion of a high school diplomas and/or GED. Years of Relevant Work Experience: 1 years Physical Requirements: Must continuously stand or walk or regularly requires lifting/handling/carrying material or equipment of moderate weight (8-20 pounds). Preferred Qualifications: Knowledge or experience in the home improvement, retail or telemarketing field. Ability to travel to various locations based upon business needs is preferred by not required. Knowledge, Skills, Abilities and Competencies: Strong customer service skills. Good verbal and written communication skills with flexibility of style to reach multiple audiences. Excellent relationship building skills. Good presentation and selling skills. Ability to initiate conversations with customers and accept possible rejection Home Depot Manchester CT

Clinical Documentation Integrity Specialist

Eastern Connecticut Health Network