University of Missouri Health Care · 15 hours ago
Clinical Documentation Specialist
University of Missouri Health Care is actively seeking a Clinical Documentation Specialist who is passionate about the power of documentation in revolutionizing patient care. In this pivotal role, you'll champion impeccable ICD-9-CM coding and drive efficiency in documentation workflows while collaborating closely with healthcare providers.
Health CareHospitalMedical
Responsibilities
Gathers data, enters data, harvests from databases, compiles information, and prepares reports to facilitate efficient workloads, identifies trends/issues for corrective action
Creates reports providing team productivity, physician intradepartmental feedback, project specific data, and identification of trends/issues with coding and documentation accuracy
Interacts with patient care providers (physicians, APRN’s, PA’s, etc.) by means of in-services, rounding, clarification query requests and personal contacts to ensure quality documentation practices, documentation clarification, documentation policies/procedures and regulations
Maintains knowledge of current and developing issues and trends in medical coding, and documentation, and outcomes registries
Maintains knowledge and expertise in electronic software tools (IDX, Cerner, 3M, etc.)
Reviews and analyzes inpatient or outpatient medical records for quality documentation practices resulting in accurate and compliant queries as needed to assist in ICD-9 and ICD-10 coding assignments or outcomes registries
Works collaboratively with coding staff for determining principal diagnoses, DRG, CPTs, and severity scorings
Other duties as assigned, including special projects assigned by organizational leadership
May complete unit/department specific duties and expectations as outlined in department documents
Qualification
Required
Experience in documentation review, quality, ICD-10 coding, and Current Procedural Technology CPT's
Respiratory Care Practitioner (RCP) or (RCP-T) licensure by the Missouri Respiratory Care board; OR Missouri Board of Nursing RN, or Nurse Licensure Compact multi-state RN. When primary state of residency changes, compact state RNs must apply under new state of residency within thirty (30) days
Preferred
Clinical documentation improvement experience
5 years of RN or Respiratory Therapy experience
Broad clinical expertise and direct contact with physicians
Benefits
Health, vision and dental insurance coverage starting day one
Generous paid leave and paid time off, including nine holidays
Multiple retirement options, including 100% matching up to 8% and full vesting in three years
Tuition assistance for employees (75%) and immediate family members (50%)
Discounts on cell phone plans, rental cars, gyms, hotels and more
Company
University of Missouri Health Care
As part of the state’s premier academic medical center, University of Missouri Health Care offers a full spectrum of care, ranging from primary care to highly specialized, multidisciplinary treatment for patients with the most severe illnesses and injuries.
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Missouri Department of Economic Development
2023-04-03Grant
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