Facilitating improvement in the overall quality and completeness of the medical record documentation
Providing support and expertise through comprehensive assessment and review of inpatient medical records
Ensuring accurate DRG assignment and obtaining appropriate documentation through interaction with physicians, patient caregivers, and health information management coding staff
Monitoring home health patients to ensure they meet CMS criteria for services
Proactive outreach to patients and making recommendations to primary care providers
Facilitating communication and coordinating care with healthcare providers and caregivers
Creating positive relationships with home health agencies as well as primary care clinicians

Bachelor's Degree in Nursing preferred
Foreign or domestic Medical School Graduate (license not required), OR Graduate from a Physician's Assistant or RN Program
3-5 years of clinical experience required
2 years of home health experience preferred
2-3 years of managed care and/or care management experience preferred
An RN license in the state of employment or compact is required

Clinical Documentation Specialist

Key skills