Corewell Health
SeniorClinicalDocumentationSpecialist
“Senior Clinical Documentation Specialist at Corewell Health. Skills: Clinical documentation analysis, Physician and healthcare professional communication, Quality improvement. Conducts thorough analysis encompassing clinical review and assessment of patient records focusing on the documentation of the clinical condition and the care provided.. Ensures that level of patient services provided is accurately and completely documented.”
What You'll Achieve.
improving the organization’s level of accurate reimbursement; quality, cost effectiveness and efficiency
Industry & Context.
Develops, communicates and implements solutions/programs to address problem areas identified through quality studies or claim denials
MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category.
What They're Looking For.
Must Have
Bachelor's Degree Nursing, Health Related Field or Business Administration, 5 years of relevant experience Clinical Role, CRT-Clinical Documentation Specialist, Certified (CCDS), LIC-Registered Nurse (RN) - STATE_MI
Nice to Have
LIC-Nurse Practitioner (NP) - STATE_MI, LIC-Physician Assistant - STATE_MI, Master's Degree Health Related Field, Clinical Documentation Review
What You'll Do.
Conducts thorough analysis encompassing clinical review and assessment of patient records focusing on the documentation of the clinical condition and the care provided.
Ensures that level of patient services provided is accurately and completely documented.
communicates and implements solutions/programs to address problem areas identified through quality studies or claim denials working directly with physicians and other health care professionals.
Works for the promotion of proper and ethical documentation and codingilling activities
thus improving the organization’s level of accurate reimbursement.
Conducts in-depth analysis of documentation of clinical care rendered in inpatient and outpatient settings.
Uses critical analysis to determine appropriate DRG or coding assignment
coverage of experimental services
and clinically related visits.
Ensures that services are provided in accordance with state and federal regulations
organizational policy and accreditation/compliance requirements.
Prepares detailed clinical summaries and/or other clinical documentation as necessary for role.
Analyzes current practices in the areas of patient care
documentation and codingilling
utilizing observation and data/statistical analysis to identify areas of opportunity.
Develops and communicates recommended solutions/programs to address problem areas to physicians and other health care professionals.
Communicates study or other findings and trains physicians and other healthcare professionals as required in current data and healthcare trends as it relates to appropriate clinical documentation and evidenced-based medicine.
Aids in the continuous monitoring of data for quality
cost effectiveness and efficiency.
Engages in process and quality improvement activities.
Ensures that required documentation for activities within areas of responsibility is performed in an accurate and timely manner.
How You'll Work.
Team & Collaboration
working directly with physicians and other health care professionals; Develops and communicates recommended solutions/programs to address problem areas to physicians and other health care professionals.; Communicates study or other findings and trains physicians and other healthcare professionals as required
Communication Scope
Develops, communicates and implements solutions/programs; Communicates study or other findings; trains physicians and other healthcare professionals
Process & Methodology
Utilizing project management skills, identifies project scope, project requirements, decision points, timelines, and resource requirements for planning, prioritization, implementation, and evaluation of complex, multifaceted quality and patient safety decision support projects and programs.
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