RN Clinical Documentation Improvement Expert
4 days ago
Geisinger Health System seeks a highly skilled and experienced Clinical Documentation Improvement Specialist to join our team. This is an exciting opportunity to work in a fast-paced clinical environment where you will utilize your expertise to improve the accuracy and completeness of physician documentation in patient records.
As a member of our Clinical Documentation Improvement Program, you will work closely with physicians, nurses, and other healthcare professionals to ensure that patient care is coordinated and documented accurately. Your responsibilities will include reviewing inpatient medical records, evaluating documentation, and assigning principal diagnoses, relevant secondary diagnoses, and procedures for accurate DRG assignment, risk of mortality, severity of illness; and initiating documentation of the review.
You will also be responsible for formulating queries when necessary, providing ongoing education to physicians and healthcare providers, and collaborating with interdisciplinary teams. We are looking for a candidate who is passionate about delivering high-quality patient care and has excellent communication and collaboration skills.
Key Responsibilities:
- Reviews inpatient medical records
- Evaluates documentation and assigns principal diagnoses, relevant secondary diagnoses, and procedures
- Formulates queries when necessary
- Provides ongoing education to physicians and healthcare providers
- Collaborates with interdisciplinary teams
Benefits:
- Competitive salary range: $85,000 - $110,000 per year
- Comprehensive benefits package including health, dental, and vision insurance
- Generous paid time off plan
- Tuition reimbursement program
- Opportunities for professional growth and development
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