CLINICAL DOCUMENTATION SPECIALIST

Tenet Healthcare, St. Louis, MO
(Full time)

Description

Provide clinically based concurrent and retrospective review of inpatient medical records to evaluate the  documentation and utilization of acute care services.  Includes facilitation of appropriate physician documentation of care to accurately reflect patient severity of illness and risk of mortality.  Will play a significant role in obtaining accurate and compliant reimbursement for acute care services and in reporting quality of care outcomes
Qualifications

Must possess a current, valid RN or LPN license or an RHIA, RHIT, or CCS credential.
 
Minimum of 3 years clinical or inpatient coding experience in an acute care setting required; 5 years experience strongly preferred.
 
Famililarity with coding concepts and coding software desired.
Knowledge of care delivery documentation systems and related medical record documents.
Knowledge of age-specific needs and the elements of disease processes and related procedures.
Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes.
Excellent written and verbal communication skills.
Excellent critical thinking skills.
Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, hospital management staff, and health information systems coding staff.
Ability to work independently in a time-sensitive environment.
Computer literacy and familiarity with the operation of basic office equipment.
Assertive personality traits to facilitate ongoing physician communication.
Ability to stand and walk for periods of time is required in the performance of job responsibilities.
Working knowledge of Medicare reimbursement system and coding structures/national coding guidelines.

Job  :  Non-Clinical/Administrative
Primary Location  :  MO-St. Louis
Hospital/facility  :  102-Saint Louis University Hospital - St. Louis, MO
Job Type*  :  Full-time
Shift Type*  :  Days


Tenet, through its subsidiaries, owns and operates acute care hospitals and numerous related health care services. Our mission is to be recognized for our commitment to our people and partners who provide quality, innovative care to the patients we serve in our communities. It's a spirit you can experience first-hand and it's a philosophy that can enhance your own approach to health care and your career goals.

 
Please quote Job Code 0905010100 when contacting the employer by phone about this position.
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( AllHealthcareJobs Job ID:563918 last updated on 11/21/2009)