Documentation Specialist at American Addiction Centers

Rome, Georgia, United States -

Full Time

Start Date

Immediate

Expiry Date

16 May, 26

Salary

57.3

Posted On

15 Feb, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Record Review, Documentation Improvement, Physician Query, Database Management, Provider Education, Utilization Management, Patient Care Coordination, Performance Improvement, Lean/Six Sigma, Risk Management, Policy Modification, Nursing License Management, HIM/Coding

Industry

Hospitals and Health Care

Description

Department: 10169 Enterprise Corporate - Clinical Documentation Improvement Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: This is a hybrid position. Monday-Friday typical daytime hours. Pay Range $38.20 - $57.30 Major Responsibilities: Reviews Medicare inpatient medical records to ensure appropriate documentation of co-morbidities and complicating diagnoses. Manages daily work list of patients meeting priority list diagnoses for documentation improvement including top volume/variance DRG pairs, Pneumonia (DRG089, Respiratory (DRG 079), Sepsis (DRG 320, 321, and 416). Queries appropriate physician for necessary documentation. Follows-up to ensure query response from physician. Maintains database on queries, response to query and documentation outcomes. Uses database reports to identify physician education needs and to report on success of documentation program. Develops and provides education programs to appropriate providers. Acts as a resource to the Utilization Managers for early assignment of a working DRG on all Medicare patients. Provides education/training to other UM staff to maintain a backup to the documentation specialist in case of time off. Coordinates patient care throughout inpatient or observation stays. Actively participates in Performance Improvement (PI) processes. Actively participates in departmental and organization-wide Lean/Six Sigma program 100 day workouts. Maintains workload to ensure progress towards departmental goals and objectives. Identifies, documents and reports variances, quality, cost and risk issues to management. Supports and participates in the review and modification of policies, procedures and processes. Performs other related duties as assigned. Licensure, Registration, and/or Certification Required: Valid, active unencumbered Nursing license approved by the Georgia Licensing Board, HIM/Coding certification preferred Education Required: Graduate of an accredited School of Professional Nursing, BSN or MSN Preferred Experience Required: 5 or more years hospital experience caring for short term acute patients Comprehensive understanding of reimbursement mechanisms Physical Requirements and Working Conditions: Full range of body motion including handling and lifting patients, manual and finger dexterity and eye-hand coordination. Standing and walking for extensive periods of time. Occasionally lifts and carries weight up to 50 pounds. Ability to distinguish letters, numbers and symbols with vision and hearing within normal range to respond to Code alerts and equipment alarms. Work-related stress due to volume and time constraints with irregular working hours. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits. This is Transformation One shared purpose brought us together. Now, as one of the 10 largest not-for-profit, integrated health systems in the United States, our combined strength and stability drives us forward. Starting with You Caring for nearly 3 million people has inspired a transformation. One in which the patient’s experience guides our vision and empowers us to offer new possibilities in our communities. Reshaping Access What is access? It’s offering more sites of care than any other health system in the Midwest. But there’s a new frontier. Access is exploring the latest technologies to deliver care to patients exactly where they are and exactly when they need it Inspiring Professionals With our dynamically inclusive workforce and strong connections to the places where we live and work, we’ll touch more lives and contribute to stronger and more vibrant communities. Transforming Care We’re redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in: Cardiovascular Care Neurosciences Gynecology Oncology Pediatrics Primary Care Neurology Geriatrics Trauma Care

Responsibilities

The specialist reviews Medicare inpatient medical records to ensure accurate documentation of co-morbidities and diagnoses, managing daily work lists for documentation improvement and querying physicians as needed. They also develop and provide educational programs to providers and act as a resource for Utilization Managers regarding working DRGs.