Advise clinicians regarding complete and accurate Outpatient /Clinic documentation including accurate HCC capture.
Function as a liaison between clinicians and coders.
Work as an expert source for information regarding the impact of documentation on patient care, quality outcomes measures, HCC risk adjustment, and to ensure correct reimbursement.
Conduct pre and post visit reviews of outpatient/clinic medical records-seeking clarification of documentation.
Requirements
Associate's Degree in Nursing Required
Bachelor's Degree in Nursing Preferred
3 years of nursing, case management, utilization review or quality resources experience in an acute care or ambulatory setting Required
3 years of Clinical Documentation Integrity experience highly desirable Preferred
5 years of nursing, case management, utilization review, or quality resources experience in an acute care setting Preferred
Licensed as a Registered Nurse (RN) in the State of WI or holds a license issued by a jurisdiction that has adopted the nurse licensure compact Upon Hire Required