Role Description
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.
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Reviewing clinical documentation to facilitate the accurate representation of the severity of illness, expected risk of mortality, and complexity of care.
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Improving the quality of the physician's clinical documentation through extensive record review and interaction with:
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Physicians
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HIM/Coding professionals
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Nursing staff
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Case management
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Collaborating with Coding professionals to educate the patient care team on changes in documentation guidelines and/or documentation deficiencies noted.
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The patient care team includes but is not limited to:
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Attending physicians
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Consultants
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Physician extenders
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Allied health practitioners
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Nursing
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Case management
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The Specialist reports to the Clinical Documentation Improvement Director.
Qualifications
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Associate’s Degree in nursing, Health Information Management or a related field (Required)
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Bachelor’s Degree (Preferred)
Requirements
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5 years of recent hospital experience/practice, preferably in an ICU, CCU or complex Med/Surg environment (Required)
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Previous clinical documentation improvement experience, utilization management, precertification, coding, Medicare regulations, quality assurance, or related area (Preferred)
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Prior experience with Epic (Preferred)
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Must have one of the following upon hire (Required):
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RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure
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CCS - Certified Coding Specialist
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RHIT - Registered Health Information Technician
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RHIA - Registered Health Information Administrator
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CCDS - Certified Cardiac Device Specialist
Company Description
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Piedmont Healthcare Corporate