Clinical Documentation Improvement Specialist at Emory Healthcare

Atlanta, Georgia, United States -

Full Time

Start Date

Immediate

Expiry Date

25 Aug, 26

Salary

52.34

Posted On

27 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Clinical Documentation Improvement, Medical Record Review, Patient Acuity Evaluation, Acute Care Services, Physician Documentation, Billing Compliance, Clinical Expertise, Nursing, Medical Review

Industry

Hospitals and Health Care

Description

Overview Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship and leadership programs And more! Description Job Summary: Provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation of patient acuity and to support acute care services that were delivered. The goal of concurrent review includes facilitation of appropriate physician documentation of care delivery to accurately reflect patient severity of illness and risk of mortality. Specific reviews are both determined internally and by requirements/requests of external payers or regulatory agencies and play a significant role in reporting quality of care outcomes and in obtaining accurate and compliant documentation for billing of services rendered. Minimum Required Qualifications: Education: Graduate of an accredited school of Nursing, or United States or International School of Medicine Education. Licensure: For RNs, candidates must have an active license. All nurses employed in roles requiring an unencumbered nursing license must have a valid, active license or temporary permit approved by the Georgia Licensing Board. Education and experience may be considered in lieu of a RN license for highly qualified candidates (physician). Experience: Three years' experience in healthcare related field with strong clinical expertise and acumen. Prefer recent clinical experience in an acute care setting, (Critical Care, Medical/Surgical or Emergency department nursing preferred; or 2 years' experience in a specialty area). PHYSICAL REQUIREMENTS: (Light 1-10 lbs): 0-33% of the work day (occasionally), negligible 34-66% of the workday (frequently), negligible 67-100% of the workday (constantly). Lifting 10 lbs max, carrying of small articles such as dockets, ledgers, files, small tools, occasional standing & walking, frequent sitting, close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks. ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste. chemicals/gases/fumes/vapors, communicable diseases, electrical shock , floor surfaces, hot/cold temperatures, indoor/outdoor conditions, latex, lighting patient care/handling injuries, radiation, shift work, travel may be required, use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks. Additional Details Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.

Responsibilities

Perform concurrent and retrospective reviews of inpatient medical records to ensure accurate documentation of patient acuity and severity of illness. Facilitate appropriate physician documentation to support compliant billing and quality of care reporting.