Southern Illinois Healthcare
Healthcare • Wellness • Non-profit
Southern Illinois Healthcare is a healthcare organization dedicated to providing high-quality medical services to the community of Southern Illinois. It offers a wide range of services including cancer care, cardiovascular care, urgent care, and mental health services, while also focusing on community health initiatives and employee recognition. The organization aims to improve patient care and enhance health outcomes in the region through its various facilities and programs.
1001 - 5000 employees
🧘 Wellness
🤝 Non-profit
RN Clinical Documentation Specialist
Job not on LinkedIn
October 15
Southern Illinois Healthcare
Healthcare • Wellness • Non-profit
Southern Illinois Healthcare is a healthcare organization dedicated to providing high-quality medical services to the community of Southern Illinois. It offers a wide range of services including cancer care, cardiovascular care, urgent care, and mental health services, while also focusing on community health initiatives and employee recognition. The organization aims to improve patient care and enhance health outcomes in the region through its various facilities and programs.
1001 - 5000 employees
🧘 Wellness
🤝 Non-profit
📋 Description
• Completes secondary reviews of targeted patient populations to identify missed opportunities and accurate selection of principal diagnosis. • Acts as a liaison between the Coding Department and the Clinical Documentation Specialist to reconcile discrepancies in DRG assignment. • Communicates findings of secondary reviews to respective Clinical Documentation Improvement Specialists and Coding staff for follow up. • Documents and tracks secondary review data. • Shares this information with staff at monthly DCI meetings. • Completes medical record review using an organized approach to survey admit notes, past medical history, home meds, physician/provider documentation, treatments, orders, ancillary department notes, laboratory data and other pertinent components of the clinical record. • Analyzes and interprets clinical data to identify gaps, trends, inconsistencies and/or opportunities for improvement in the clinical documentation. • Regularly interacts with/educates physicians to enhance understanding of the CDI program and to ensure the medical record can be coded accurately in order to reflect patient severity of illness and risk of mortality. • Collaborates with other clinical disciplines and members of the coding department to ensure high quality clinical documentation and efficient, timely coding of the medical record. • Collaborates with Coding Department when discrepancies in the medical record are identified and reviews medical record to provide clinical feedback for accurate coding. • Develops collaborative relationships and promotes teamwork with co-workers and other departments. • Organizes and performs work responsibilities effectively and efficiently. • Maintains strict patient confidentiality, adhering to HIPPA guidelines.
🎯 Requirements
• Associates, Diploma or Bachelor’s degree in Nursing • Current Illinois RN license required • Certification in Clinical Documentation Improvement or Coding preferred • 2 years of technical experience
🏖️ Benefits
• Health insurance • Professional development opportunities
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