Assists to facilitate improvement in the overall quality, completeness and accuracy of the medical record documentation in order to support appropriate coding and reimbursement for services rendered to all patients. Works in conjunction with Corporate Compliance and Case Management departments to assure all coding is reflective of the patient's medical condition and severity which is used for measuring and reporting physician and hospital outcomes.
Education/Experience: Graduate of a school of Licensed Practical Nursing or RHIA/RHIT credentials preferred. Two years current experience in hospital clinical setting required. Successful completion of Clinical Documentation Improvement course of study desired. Minimum 3 years coding & reimbursement experience in an acute care setting. CCS, CCDS or CIC required.
License/Certification required: CCS, CCDS or CIC
Knowledge, Skills, and Abilities:
Demonstrates knowledge of ICD-CM, MS-DRG and CPT coding principles and guidelines.
Knowledge of federal, state and payor specific regulations and compliance standards relating to documentation, coding and billing.
Individual must be self-confident and able to function independently in a high-stress environment subject to frequent interruptions.
Must possess excellent verbal and written communication and interpersonal skills.