Full time position
Works collaboratively with Revenue Cycle (Health Information Management, Patient Financial Services, Patient Access Management), Case Management, Medical Staff Quality, Nursing, Providers, other allied health staff, and outside governmental and contractual agencies.
The primary purpose of this role is to improve medical clinical documentation to substantiate medical necessity of services and facilitate accurate coding.
The Clinical Documentation Specialist is responsible for identifying opportunities in concurrent and retrospective inpatient clinical medical documentation to support quality, regulatory compliance, and effective coding. This individual acts as an effective change agent and educator for physicians and allied health staff.
The position requires strong understanding of the requirements for clinical coding and billing according to the rules for Medicare, Medicaid, and commercial health plans along with knowledge of Interqual® and medical necessity criteria.
Serves as a resource for RN Case Managers and providers to assign the correct patient status and level of care and support the medical necessity of services.
Candidate should have Bachelors degree in nursing or Health Information Management, RN with CPS/CCS or RHIA with CCS or RN Case Manager and 5-7 years acute care hospital as nurse, or inpatient coder, or case manager, or reviewer of acute care clinical documentation.
Healthcare Professional Staffing (HPS) has built a solid reputation as a national leader in specialized healthcare staffing. We are committed to supplying excellence in healthcare recruitment, retention, and customer care. We recruit highly qualified healthcare professionals whose references attest to their expertise and training. Founded in 2003 , our mission is to supply our employees and customers with First Class Service operating with the utmost professionalism and integrity.
We offer a specialized range of opportunities within the healthcare staffing industry, both clinical and non-clinical. These positions are temporary, travel and permanant.
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