Clinical Documentation Specialist RN - Part-Time

Job description

Work Shift Weekend Scheduled Weekly Hours: 16 Summary: This position supports Mercy's philosophy of patient centered care by ensuring the patient's medical record is an accurate reflection of their medical condition and the services provided by Mercy Medical Center. Job Description: Job Duties: - Reviews medical records to identify documentation opportunities. - Communicates with physicians regarding documentation issues to ensure immediate resolution. - Educates physicians and caregivers on the importance of complete and accurate clinical documentation as it is related to patient acuity, severity of illness, physician profiling and core measures. - Assesses improvement in the quality of clinical documentation for area of responsibility. - Adheres to all federal, state and Mercy Medical Center policies relating to medical records. - Participates in meetings with physicians and other providers to discuss patient care documentation trends and improvement opportunities. - Applies Medical Necessity criteria to determine payment eligibility. - Gathers pertinent information regarding the claim/service that is being denied so that an appeal may be formulated and filed. - Works closely wit...