Clinical Documentation Specialist

7 days ago


Rancho Mirage, California, United States Eisenhower Health Full time
Clinical Documentation Specialist Job Summary

We are seeking a skilled Clinical Documentation Specialist to join our team at Eisenhower Health. As a Clinical Documentation Specialist, you will play a critical role in ensuring the accuracy and completeness of patient medical records.

Key Responsibilities:
  • Conduct concurrent review of medical records to identify areas of documentation requiring clarification
  • Collaborate with coding personnel to determine outcomes regarding severity/complexity and to assure all opportunities have been pursued before patients' discharge from acute care setting
  • Communicate with physicians and staff on Query tool as it relates to quality of documentation in the medical record
  • Develop and track outcomes related to education and follow-through by physicians regarding accurate complication/comorbidity documentation
  • Interface with physician champion regarding educational opportunities for specific documentation with physicians identified as needed additional education
Requirements:
  • Active California RN license
  • Minimum of 5 years recent clinical nursing experience in an acute care setting
  • Knowledge of MS-DRG methodology and inpatient coding rules and regulations

Eisenhower Health is a leading healthcare provider in the region, and we offer a competitive salary and benefits package to our employees.



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