CareWell Health Medical Center · 3 months ago
Document Imaging Specialist
East Orange, NJ
Full-time
Onsite
Senior Level
5+ years expCareWell Health Medical Center is focused on enhancing the quality and completeness of clinical documentation. The Document Imaging Specialist is responsible for facilitating modifications to clinical documentation, ensuring accurate reimbursement for services, and educating the patient care team on documentation standards and practices.
Health Care
Responsibilities
Facilitates modifications to clinical documentation to ensure that appropriate reimbursement is received for the level of service provided to all patients with a DRG based payer
Demonstrates knowledge of DRG payer issues, documentation opportunities, clinical documentation requirements and referral policies and procedures
Improves the overall quality and completeness of clinical documentation by performing admission/ continued stay reviews using Compliant Documentation Program Management (CDMP) guidelines
Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and organizational outcomes
Interacts with Case Managers and Nurses to ensure the level of care provided to the patients is accurately reflected in the documentation
Process discharges by updating the DRG Worksheet to reflect any changes in status, procedures / treatments, and conferring with physician to finalize diagnoses
Educates all internal customers on compliant documentation opportunities, coding and reimbursement issues, as well as performance improvement methodologies
Conducts follow-up reviews of clinical documentation to ensure points of clarification have been recorded in the patient’s chart
Reviews clinical issues with coding staff to assign a working DRG
Assists with management of CDMPTrack
Serves as a member of the CDMP Task Force
Assists with special projects
Provides program updates to Steering Committee on a routine basis
Advises Director of immediate challenges that have a negative impact on the program functions
Performs other duties as assigned
Qualification
Required
Current license as a Registered Nurse
5 years recent clinical experience in a hospital setting or 4 years recent clinical experience and 2 years of ICD-9 coding experience
Demonstrates knowledge of DRG payer issues, documentation opportunities, clinical documentation requirements and referral policies and procedures
Good critical thinking skills, able to assess, evaluate and teach
Requires excellent observation skills, analytical thinking, problem solving, plus good verbal and written communication
Professional, team player, able to communicate well with all levels of staff
Strong interpersonal skills, pleasing personality, positive demeanor
Preferred
RN, BSN preferred
Utilization Review or coding experience preferred
Company
CareWell Health Medical Center
CareWell Health Medical Center is a world-class community hospital. A place where every patient is family.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Paige Dworak, FACHE
President and Chief Executive Officer
Ron Napiorski
SVP - CFO
Recent News
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