Facilitates appropriateness of clinical documentation to ensure that documentation reflects the level of service rendered to all patients with a DRG based payor.

Demonstrates knowledge of DRG payor issues, optimization strategies, clinical documentation requirements and referral policies and procedures.

Improves the overall quality and completeness of clinical documentation by performing admission/continued stay reviews using clinical documentation Integrity (CDI) guidelines.

Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and Huntsville Hospital outcomes.

Assisting in screening process, making referrals, interacting with case managers and clinical nurse specialists to ensure continuity of patient care.

Process discharges by updating the DRG worksheet to reflect any changes in status, procedures/treatments and conferring with physician to finalize diagnosis.

Educates all internal customers on clinical documentation opportunities, coding and reimbursement issues, as well as performance improvement methodologies.

Conducts follow-up reviews of clinical documentation to ensure points of clarification have been entered into the patients medical record.

Reviews clinical issues with coding staff to assign a working DRG.

Tracks response to CDI and trends completion of DRG worksheets.

Serves as a member of the CDI Work Group, assists with special projects as needed and performs related duties as assigned.

Maintains positive open communication with physicians, interdisciplinary team members, and the departments director.

As appropriate, participates in QI/PI data collection, evaluation and recommendations for improvement.

Refers quality issues to the departments director.

Demonstrates knowledge of the principles of growth and development over the life span of the patient to include pediatrics, adolescents, adults, and geriatrics