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Saint Luke's Health SystemNew
Overview
The specialist reviews medical records to ensure accurate representation of illness severity, complications, and comorbidities. They are responsible for educating clinical providers on compliant documentation and collaborating with the coding team.
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Compensation
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Posted
New
EvergreenHealth
The Clinical Documentation Specialist RN reviews inpatient medical records to ensure documentation accurately reflects patient severity and risk of mortality. They collaborate with providers and coding staff to facilitate corrections and ensure accurate reimbursement and outcome reporting.
29 days ago
UHS
The CDI Coordinator reviews inpatient medical records concurrently and retrospectively to ensure accurate representation of patient acuity and severity of illness. The role focuses on promoting quality documentation to support appropriate coding, reimbursement, and regulatory compliance.
Northwell
Facilitates accurate clinical documentation by reviewing inpatient medical records and querying physicians to ensure diagnoses and severity of illness are properly captured. Manages documentation integrity for Medicare, Medicaid, and commercial payers to support appropriate coding and revenue outcomes.
$78,000 - $130,000 / YEAR
2 months ago
Emanate Health
The Clinical Documentation Integrity Specialist facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other healthcare team members. This role involves communicating with providers via discussion or compliant queries to address unclear or conflicting diagnoses and ensuring documentation accurately reflects the patient’s clinical conditions and level of service.
$69 / HOUR
Centra Health
The specialist reviews inpatient medical records to assign ICD-10-CM and ICD-10-PCS codes, which derive APR-DRG or MS-DRG for optimal reimbursement. This role involves collaboration with the Clinical Documentation Integrity Specialist and formulating provider queries for clarification.
The coordinator is responsible for enhancing the quality and completeness of clinical documentation by fostering collaboration between reviewers, coders, and physicians to improve documentation and reimbursement. This role facilitates clarification of documentation and advocates for appropriate reimbursement while supporting accurate reporting of patient severity and outcomes.
