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RN - Clinical Documentation Specialist

Company: Ascension
Location: Kalamazoo
Posted on: November 17, 2018

Job Description:

Additional Job Information Title: Clinical DocumentationSpec BMCCity, State: Kalamazoo,MILocation: Borgess Medical CtrDepartment: Case Management 002Additional Job Details: Full-Time,Day, 40 hours,WeeklyAbout Us Based in Kalamazoo, Borgess provides care for nearly 1 million people annually in cardiac, neurologic, orthopedic, vascular and bariatric services, among others. We are one of the region's largest health systems and employers and have been serving as part of Ascension since 1999. Job Description Job Summary:Reviews and collaboratively corrects clinical documentation to ensure that level of patient services provided is accurately and completely documented. Responsibilities:

  • Performs ongoing medical record review using documentation improvement guidelines to evaluate overall quality and completeness of clinical documentation. Conducts follow-up reviews of clinical documentation to ensure issues discussed and clarified with clinical staff have been recorded in patient's chart.
  • Works with physicians and medical staff to improve clinical documentation for more accurate code assignments and a more accurate case mix.
  • Establishes and maintains a system to track and analyze outcomes of documentation improvement program. Prepares regular outcomes progress reports and presents as designated to administrative staff and committees.
  • Uses performance improvement methodologies and education strategies to develop formal training and improvement programs for staff concerning clinical documentation opportunities, coding and reimbursement issues. Provides ongoing updates as regulations change.
  • The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements. Qualifications Licenses/Certifications/Registration:
    • Required Credential(s):
    • Licensed Registered Nurse obtained prior to hire date or job transfer date.
    • Bachelor's degree in a related field, or combination of High School degree and related experience required. Bachelor's degree in a related field preferredWork Experience:
      • 3 Years Preferred Technical Experience.Equal Employment Opportunity Borgess Health is an equal opportunity employer, dedicated to the nondiscrimination in employment on the basis of race, color, age, religion, sex, national origin, handicap, disability, veteran or marital status.Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

        Keywords: Ascension, Lansing , RN - Clinical Documentation Specialist, Healthcare , Kalamazoo, Michigan

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