Clinical Doc Improvement Spec
Overview
At Piedmont Healthcare, you’ll love a shared purpose, be motivated to be your best, and be recognized for your contributions. Piedmont Healthcare leaders are in your corner and invested in your success. Our wellness programs and comprehensive total benefits and rewards will meet your needs for today and help you plan for the future.
Responsibilities
Reviewing clinical documentation to facilitate the accurate representation of the severity of illness, expected risk of mortality, and complexity of care by improving the quality of the physician's clinical documentation. This work involves extensive record review and interaction with physicians, HIM/Coding professionals, nursing staff, and case management. Through collaboration with Coding professionals, educates the patient care team on changes in documentation guidelines and/or documentation deficiencies noted. The patient care team includes but is not limited to: attending physicians, consultants, physician extenders, allied health practitioners, nursing, and case management. The Specialist reports to the Clinical Documentation Improvement Director.
Qualifications
Education Associate’s Degree in nursing, Health Information Management or a related field Required Bachelor’s Degree Bachelor’s degree Preferred Work Experience 5 years of recent hospital experience/practice, preferably in an ICU, CCU or complex Med/Surg environment Required Previous clinical documentation improvement experience, utilization management, precertification, coding, Medicare regulations, quality assurance, or related area Preferred Prior experience with Epic Preferred Licenses and Certifications Must have one of the following: Upon Hire Required RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Required or CCS-Certified Coding Specialist Required or RHIT - Registered Health Information Technician Required or RHIA - Registered Health Information Administrator Required or CCDS - Certified Cardiac Device Specialist Required Business Unit : Company Name Piedmont Healthcare Corporate