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UMass Memorial Health
Overview
Collaborates with physicians and staff to ensure patient records accurately reflect the severity of illness and risk of mortality. Analyzes clinical status and treatment plans to identify and resolve gaps in medical documentation for coding and reimbursement purposes.
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Compensation
$87,277 - $157,082 / YEAR
Posted
17 days ago
American Addiction Centers
Facilitate modifications of clinical documentation through interaction with physicians to ensure accurate capture of clinical severity and risk of mortality. Perform chart reviews and provide ongoing education to the healthcare team regarding coding and reimbursement issues.
$38 - $57 / HOUR
25 days ago
UHS
Perform concurrent and retrospective reviews of inpatient medical records to ensure accurate documentation of patient severity and risk of mortality. Facilitate physician documentation to ensure compliant reimbursement and quality of care reporting.
Salary not listed
29 days ago
Unity Health
The Clinical Documentation Improvement Specialist facilitates modifications to medical records through concurrent interaction with physicians to ensure accurate clinical severity and billing levels. They evaluate documentation, lab results, and treatment plans to support the level of service rendered.
1 month ago
Tenet Healthcare Corporation
The Clinical Documentation Specialist performs concurrent and retrospective reviews of inpatient medical records to ensure accurate documentation of patient severity and risk. They play a key role in reporting quality outcomes and ensuring compliant reimbursement for acute care services.
Prisma Health
The specialist conducts concurrent and retrospective reviews of medical records to ensure documentation, including illness diagnosis, is accurate, complete, and consistent, validating diagnosis codes and identifying missing information. This involves employing query processes and reconciliation to accurately reflect patient severity of illness, risk of mortality, and other key metrics, while collaborating with healthcare providers.
Centra Health
The Inpatient Coding Specialist reviews medical records to assign accurate ICD-10-CM and ICD-10-PCS codes for optimal reimbursement. They also collaborate with clinical documentation teams and formulate provider queries to ensure coding accuracy.
2 months ago
The specialist conducts concurrent and retrospective medical record reviews to validate diagnoses, ensure documentation clarity, completeness, and accuracy, and reflect the patient's severity of illness. This involves employing the query process with providers and completing reconciliation to ensure accurate coding reflective of patient status.
UF Health
The specialist is responsible for improving inpatient clinical documentation by concurrently reviewing medical records to ensure accuracy based on clinical evidence and ICD-10-CM coding guidelines. This involves identifying documentation enhancement opportunities and querying physicians for clarification to accurately reflect the patient’s severity of illness and risk of mortality.
3 months ago
The specialist is responsible for improving inpatient clinical documentation by concurrently reviewing medical records to ensure accuracy based on clinical evidence and ICD-10-CM coding guidelines. This involves identifying documentation enhancement opportunities and querying physicians to support more specific and accurate diagnoses.
CULLMAN REGIONAL
The CDI Specialist performs reviews of inpatient medical records to evaluate documentation related to acute care services. They are responsible for improving the quality and completeness of clinical documentation and providing training to physicians.
5 months ago
