Clinical Documentation Specialist

🕒 il y a 13 jours

🤠 Texas – Distant

🤠 Texas – Remote

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

🏥📝 Rédacteur Médical

🦅 Parrain de Visa H1B

Cette entreprise a parrainé des visas H1B par le passé.

👻 Score fantôme 20%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Memorial Hermann Health System

Site WebLinkedInTous les Emplois

10 000+ employés

⚕️ Assurance santé

🏥 Santé

🧘 Bien-être

💰 €5 000 000 Grant en 2022-08

Healthcare Insurance • Healthcare • Wellness

Memorial Hermann Health System est une organisation de santé complète offrant une large gamme de services médicaux, incluant les soins contre le cancer, les services cardiovasculaires, les soins d'urgence et traumatologiques, la santé des femmes, et les services chirurgicaux. Avec le plus grand réseau de centres d'urgence dans le Grand Houston, il se concentre sur la prestation de programmes de santé avancés et de bien-être adaptés aux besoins individuels. Memorial Hermann s'engage à promouvoir l'équité en matière de santé et à améliorer la santé communautaire à travers ses divers établissements et services médicaux.

Description

• Conduct concurrent review of inpatient medical records to identify opportunities to improve physician documentation • Facilitate clinical documentation modifications through interaction with physicians and healthcare team members • Support complete, accurate, and timely coding and correct DRG assignment • Communicate with physicians, case managers, coders, and other healthcare team members regarding documentation • Use the hospital’s designated clinical documentation system to identify documentation opportunities and outcomes • Provide or coordinate education on compliance, coding, and clinical documentation issues • Consult with coders when additional information or documentation is needed • Evaluate medical staff and healthcare team documentation daily • Gather and analyze information related to documentation findings and outcomes • Develop physician education strategies and address negative documentation trends • Identify patterns, trends, variances, and opportunities to improve documentation review and processes • Research literature and incorporate CMS rules and regulations into daily practice • Assist with developing and reporting performance measures and physician-specific data • Conference with physicians about documentation clarity, completeness, outcomes, and DRG designation • Coach physicians to improve documentation reflecting intensity of services and severity of illness • Attend hospital service line meetings and educate physicians on improvement opportunities • Assist with special projects and other assigned duties • Ensure safe, compliant, efficient, and quality service while managing time, supplies, productivity, and service standards • Promote professional growth and serve as a preceptor, mentor, and resource to less experienced staff

🎯 Exigences

• Prefer an RN candidate with Clinical Documentation experience • Must be an RN with a BSN or MSN • At least 5 years of recent RN bedside experience in an acute hospital setting • Critical care, ICU nursing experience required for consideration • Bachelor of Nursing required • Current State of Texas license or temporary/compact license to practice professional nursing • Five years of inpatient, acute care bedside experience on a nursing unit • Excellent observation, analytical thinking, problem-solving, verbal, and written communication skills • Working knowledge of many areas of adult medicine • Ability to assess, evaluate, and teach • Proficiency in organization and planning • Proficiency in computer usage, including database and spreadsheet analysis, presentation programs, word processing, and Internet searching • Ability and willingness to seek out and accept change • Adaptability, flexibility, self-motivation, and ability to work independently • Knowledge of federal, state, and private payer regulations preferred • Professional team player with strong interpersonal skills and a positive attitude • Must comply with HIPAA and Code of Conduct policies • Must meet mandatory/continuing education and skills competency requirements

🏖️ Avantages

• Full-time employment • Mandatory/continuing education and skills competency support • Professional growth and development opportunities • Preceptor, mentor, and resource opportunities • Employee support focused on caring, heard, and valued experiences