Job Posting: Clinical Documentation Improvement Specialist (Full time: 6:00am-6:00pm)
Employment Type: Full Time
Location: Washington Regional Medical Center - Fayetteville, AR
Shift: 12 hour shifts
Job Number: JO-2205-46202
Date Posted: 5/11/2022
Categories: Certified Professionals
Washington Regional Medical Center is our regions only locally governed, community-owned, not-for-profit healthcare system. Our system includes a 425-bed acute care hospital located in the heart of Fayetteville supported by our clinic system - including primary, specialty and urgent care operations - that span across Northwest Arkansas into Harrison and Eureka Springs. Being heavily supported and invested in our community makes Washington Regional a unique employer, encouraging staff to give back to the community in which we live and work and give back to each other.
Washington Regional Mission, Vision and Values prove to be a firm foundation and inspiration from which we fulfill our purpose.
Mission: Washington Regional is committed to improving the health of people in communities we serve through compassionate, high quality care, prevention and wellness education.
Vision: To be the leading healthcare system in Northwest Arkansas --- the best place to receive care and the best place to give care.
Values: To treat others patients and their families, visitors, physicians, and each other as we would want to be treated.
This role is vital in supporting the validity and accuracy of ICD-10 coding, MS-DRG, APR-DRG (SOI, ROM), HCC risk adjustment, PSI, POA, HAC assignment, mortality O/E ratios (and PPR, PPC, if/when applicable) in compliance with all Federal and State coding regulations and reporting requirements and also works collaboratively with CDI, Coding, physicians, quality and other key hospital personnel to ensure proper quality reporting of data.
Essential in supporting the Hospital Value-Based Purchasing (VBP) results, by reviewing documentation to ensure accuracy in the Potentially Preventable Readmissions (PPR), Patient Safety Indicators (PSI), Hospital Acquired Conditions (HAC), Present on Admission (POA) conditions, and Mortality reviews to avoid penalties associated with lack of proper documentation.
Review IP/OP medical records on a daily basis, concurrent with patient stay, to identify opportunities to clarify missing or incomplete documentation; in supportive effort to items listed above.
Serves as a liaison between physicians, other caregivers and coding staff to link coding guidelines and medical terminology to improve the accuracy of final codes and DRG assignment.
Queries physicians in instances where documentation need to be clarified either during the patient`s active stay or post discharge. Contributes to physician education to support above stated objectives.
Contribute to a positive working environment and perform other duties as assigned or directed to enhance the overall efforts of the organization.
RN, BSN, CCDS, CDIP, RHIA, RHIT, or CCS or combination thereof. Obtain CCDS within 3 years of hire
Specific Educational and Skill Competencies Required
- Documentation Improvement experience preferred.
- Working knowledge of care delivery documentation systems and related medical record documents necessary; along with elements of disease processes and related procedures required.
- Strong broad-based coding knowledge and understanding of pathology/physiology of the disease processes required.
- Excellent verbal and written communication skills, analytical thinking, and problem solving with strong attention to detail.
- Assertive personality traits to facilitate ongoing physician communication needed.
- Ability to work independently, self-motivate, and adapt to the changing healthcare arena.
- Proficiency in computer use, including database and spreadsheet analysis, presentation programs, word processing, etc
- Working knowledge of Medicare reimbursement system and coding structures preferred.
- Proficiency in organizational skills and planning, with an ability to juggle multiple priorities in a fast-changing environment.
- Knowledge of federal, state, and private payer regulations as well as applicable organizational policies and procedures.
- Working knowledge of quality improvement theory and practice, core measures, safety, and other required reporting programs.
- Ability and willingness to seek out changes in healthcare reform and coding regulations then incorporate those changes into chart review and educational responsibilities.
- Flexible hours required in order to facilitate face-to-face meetings with physicians in the hospital and their private practice.
How To Apply: