5 clinical documentation improvement specialist jobs found in Lake Charles, LA

DESCRIPTION OF POSITION: The Clinical Documentation Improvement Specialist facilitates the improvement of the overall quality, completeness and accuracy of medical record documentation. To obtain and promote appropriate clinical documentation through extensive interaction with physicians and other members of the patient care team and coding staff. To ensure Clinical Documentation reflects the level of service, severity of illness and is complete and accurate. SUPERVISION : Reports directly to the Director of CDI RESPONSIBILITIES AND DUTIES: Concurrently reviews inpatient admissions to identify opportunities to improve the quality of documentation. Complies with all relevant policies, procedures, guidelines and other regulatory, compliance and accreditation standards. Initiates physician interaction to clarify ambiguous or conflicting documentation and assure any clarification is noted in the patient record according to policy. Maintains positive and open...

DESCRIPTION OF POSITION: The Clinical Documentation Improvement Specialist II is an experienced, certified CDI with a broad clinical knowledge base and understanding of DRG documentation requirements who works under the supervision of the CDI Director and in collaboration with the CDI Educator. Responsibilities include secondary clinical chart reviews, resolution of DRG discrepancies, and improvement of capture of additional comorbid conditions to include HAC's and focused PSI diagnoses. The Clinical Documentation Improvement Specialist II will conduct concurrent secondary and retrospective medical record review for defined patient populations to identify opportunities to improve accuracy of documentation; collaborating with Quality team, Case Managers and Coding department to assure documentation is clinically appropriate, accurately reflects the severity of illness for the patient, and is reflective of current CMS standards.. SUPERVISION : Reports directly to the...

DESCRIPTION OF POSITION: The Clinical Documentation Improvement Specialist facilitates the improvement of the overall quality, completeness and accuracy of medical record documentation. To obtain and promote appropriate clinical documentation through extensive interaction with physicians and other members of the patient care team and coding staff. To ensure Clinical Documentation reflects the level of service, severity of illness and is complete and accurate. SUPERVISION : Reports directly to the Director of CDI RESPONSIBILITIES AND DUTIES: Concurrently reviews inpatient admissions to identify opportunities to improve the quality of documentation. Complies with all relevant policies, procedures, guidelines and other regulatory, compliance and accreditation standards. Initiates physician interaction to clarify ambiguous or conflicting documentation and assure any clarification is noted in the patient record according to policy. Maintains positive and open...

DESCRIPTION OF POSITION: The Clinical Documentation Improvement Specialist facilitates the improvement of the overall quality, completeness and accuracy of medical record documentation. To obtain and promote appropriate clinical documentation through extensive interaction with physicians and other members of the patient care team and coding staff. To ensure Clinical Documentation reflects the level of service, severity of illness and is complete and accurate. SUPERVISION : Reports directly to the Director of CDI RESPONSIBILITIES AND DUTIES: Concurrently reviews inpatient admissions to identify opportunities to improve the quality of documentation. Complies with all relevant policies, procedures, guidelines and other regulatory, compliance and accreditation standards. Initiates physician interaction to clarify ambiguous or conflicting documentation and assure any clarification is noted in the patient record according to policy. Maintains positive and open...

DESCRIPTION OF POSITION: The Clinical Documentation Improvement Specialist II is an experienced, certified CDI with a broad clinical knowledge base and understanding of DRG documentation requirements who works under the supervision of the CDI Director and in collaboration with the CDI Educator. Responsibilities include secondary clinical chart reviews, resolution of DRG discrepancies, and improvement of capture of additional comorbid conditions to include HAC's and focused PSI diagnoses. The Clinical Documentation Improvement Specialist II will conduct concurrent secondary and retrospective medical record review for defined patient populations to identify opportunities to improve accuracy of documentation; collaborating with Quality team, Case Managers and Coding department to assure documentation is clinically appropriate, accurately reflects the severity of illness for the patient, and is reflective of current CMS standards.. SUPERVISION : Reports directly to the...