Clinical Doc Improvement Specialist-Piedmont Augusta
Job Number: 1096751
Piedmont Healthcare Corporate - Atlanta, Georgia
Shift/Schedule: Full-time
Description
RESPONSIBLE FOR:
Reviewing clinical documentation to facilitate the accurate representation of the severity of illness, expected risk of mortality, and complexity of care by improving the quality of the physician's clinical documentation. This work involves extensive record review and interaction with physicians, HIM/Coding professionals, nursing staff, and case management. Through collaboration with Coding professionals, educates the patient care team on changes in documentation guidelines and/or documentation deficiencies noted. The patient care team includes but is not limited to: attending physicians, consultants, physician extenders, allied health practitioners, nursing, and case management. The Specialist reports to the Clinical Documentation Improvement Director.
Requirements
MINIMUM EDUCATION REQUIRED:
Associate's Degree from a program of nursing, BSN preferred, or Associate's Degree in Health Information Management
MINIMUM EXPERIENCE REQUIRED:
Minimum of five (5) years of recent hospital experience/practice, preferably in an ICU, CCU or complex Med/Surg environment.
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
ADDITIONAL QUALIFICATIONS:
A current state Registered Nurse license or Certified Coding Specialist, RHIT, RHIA, OR CCDS. Bachelors preferred. Previous clinical documentation improvement experience, utilization management, precertification, coding, Medicare regulations, quality assurance, or related area preferred. Knowledge of DRG, ICD-9/10 and CPT coding relative to physician clinical documentation within electronic medical records preferred. Prior experience with Epic preferred.
Diversity & Inclusion
At Piedmont Healthcare we embrace diverse ideas, perspectives, and skills to create a collaborative workplace where the best talent wants to succeed. We celebrate differences and recognize that they allow us to care for our community.
Excellence at Work
Piedmont is a certified Great Place to Work™-- a national designation based on employee feedback about trust, workplace culture and experience. In 2019, Forbes named Piedmont one of Georgia’s 10 best employers and the highest-ranked healthcare provider.