Clinical Documentation Coordinator – Second Level Reviewer

🔥 1 minute ago

🚗 Michigan – Remote

🚗 Michigan – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥📝 Medical Writer

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Bronson Healthcare

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

Healthcare • Medical Services • Hospital

Bronson Healthcare is a comprehensive healthcare provider located in Michigan, offering a wide range of medical services tailored to patients' needs. With a focus on creating positive patient experiences, Bronson Healthcare provides various services, including primary care, specialized treatments, and emergency care through its numerous facilities. The organization is dedicated to ensuring quality healthcare and offers educational resources for better health management.

📋 Description

• Conduct comprehensive secondary clinical chart reviews • Identify missed opportunities for documentation clarification, principal diagnosis accuracy, additional comorbid conditions, and clinical validation • Resolve DRG and code discrepancies in collaboration with the Coding Department and CDI team • Educate the CDI team and clinical staff on documentation improvement opportunities • Work with physicians and providers through query processes and provider education • Analyze and interpret clinical data to identify gaps, inconsistencies, and improvement opportunities • Review targeted patient populations for DRG/code discrepancies, mortality, HACs, PSIs, and priority diagnoses • Communicate secondary review findings to Clinical Documentation Specialists for follow-up and query initiation • Collaborate with Compliance, Revenue Cycle leaders, providers, quality, case management, coding, and other clinical disciplines • Ensure documentation is clinically appropriate, accurately reflects severity of illness and risk of mortality, and complies with CMS and other regulatory standards

🎯 Requirements

• Bachelor’s degree required • Graduation from an accredited School of Nursing; BSN or bachelor’s degree in a health-related field preferred • Minimum of 3–5 years as a Clinical Documentation Integrity Specialist required • Strong clinical and critical thinking skills • Strong understanding of disease processes, clinical indications and treatments • Understanding of provider documentation requirements for severity of illness, risk of mortality, diagnosis/procedures, and clinical coding and billing rules for Medicare, Medicaid, and commercial payors • Understanding of hospital acquired conditions (HACs), patient safety indicators (PSIs), and mortality models • Experience with encoder and DRG assignments (MS and APR) • Working knowledge of Official Coding Guidelines, Coding Clinic, and federal DRG system updates • Currently licensed or licensed by endorsement as a Registered Nurse, MD, or MD equivalent • CDIP or CCDS certification required or obtainable within six months • Knowledge of ACDIS/AHIMA compliant query-writing guidelines

🏖️ Benefits

• Full-time employment • First shift schedule • 40 scheduled hours per week / 80 hours per pay period