Clinical Documentation Integrity Specialist

🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥📝 Medical Writer

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Memorial Hermann Health System

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

🏥 Healthcare

🧘 Wellness

💰 $5M Grant on 2022-08

Healthcare Insurance • Healthcare • Wellness

Memorial Hermann Health System is a comprehensive healthcare organization that provides a wide range of medical services, including cancer care, cardiovascular services, emergency and trauma care, women’s health, and surgical services. With the largest network of emergency centers in Greater Houston, it focuses on delivering advanced healthcare and wellness programs tailored to individual needs. Memorial Hermann is committed to advancing health equity and enhancing community health through its various medical facilities and services.

📋 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 • Communicate with physicians, case managers, coders and other healthcare team members to support complete medical record documentation • Use the designated clinical documentation system to identify physician and hospital outcome opportunities • Provide or coordinate education on compliance, coding and clinical documentation issues • Consult with coders when additional documentation is needed to assign the correct DRG • Evaluate documentation by medical staff and healthcare teams 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 process improvement opportunities • Research literature and incorporate CMS rules and regulatory changes into practice • Assist with developing and reporting performance measures and physician-specific data • Review outcome information with physicians and coach them to improve documentation accuracy, intensity-of-services and severity-of-illness representation • Attend hospital service-line meetings and educate physicians on improvement opportunities • Comply with HIPAA and Code of Conduct policies • Assist with special projects and perform other assigned duties • Ensure safe care and adherence to Memorial Hermann policies, procedures and standards • Support department goals and serve as a preceptor, mentor and resource

🎯 Requirements

• RN with a BSN or MSN • Bachelor of Nursing required • Current State of Texas license or temporary/compact license to practice professional nursing • At least five years of recent RN bedside experience in an acute hospital setting • Five years of inpatient acute-care bedside experience on a nursing unit • Critical care/ICU nursing experience required for consideration; ICU experience preferred in the minimum qualifications • Clinical Documentation experience preferred • 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 • Organization and planning proficiency • Computer proficiency, 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 • Strong interpersonal skills and positive attitude • Professional team-player orientation and ability to communicate well with others • Compliance with HIPAA and Code of Conduct policies

🏖️ Benefits

• Mandatory/continuing education and skills competency • Professional growth and development opportunities • Serves as preceptor, mentor and resource to less experienced staff • Compassionate and personalized experiences for employees, patients and colleagues • Safe, caring, personalized and efficient work environment