Quality Documentation-RN EMR ICD-10-CM

• Oversee the clinical team who perform concurrent review of medical records for accurate, clear, and complete documentation of the patient's hospital stay for accurate assignment of MS-DRG.
• Work closely with team members to perform audits of their work and opportunities for education, as well as opportunities for Physician education.
• Work closely with the Coding and Quality teams on initiatives as assigned.
• Track query escalation process, CDS/Coder collaboration, etc.
• Lead weekly huddles or monthly meetings .
• Provide feedback and educational growth opportunities for staff members.
• Conduct regular reviews of CDI queries and provide coaching and feedback.
• Identify DRG mismatches and collaborate with Coding team on reconciling.
• Provide feedback to physician advisor(s) on provider engagement/response.
• Serve as main point of contact for external and internal CDI data requests.

SKILLS and REQUIREMENTS

• Licensed Registered Nurse (RN) in the State of CONNECTICUT
• Inpatient Clinical Experience
• Advanced Concurrent Review background
• Advanced EMR (EPIC) documentation background
• Advanced Clinical Coding, Revenue Cycle experience
• Coding and or Denials software such as 3M 360
• Understanding of how to avoid/reduce denials, delays and coder training time for a smoother patient billing process
• 5 Years Minimum Management background in Concurrent Review
• Medical Chart Review experience
• Assertive and courteous personality traits to facilitate ongoing physician communication.
• Working knowledge of inpatient admission criteria.
• CPT Coding DRG Coding Health Information Management (HIM) background
• Other Certifications (Preferred) RHIA - American Health Information Management Association (AHIMA) Or RHIT - Or CCS, or CCDS (Clinical Documentation Improvement Specialist)

Full time 40 Hours on site 2 days / 3 days remote (central CT. Location)
If you are an RN with Coding and Clinical Documentation Management experience You may reach out for a brief phone call to discuss this opportunity
Attn:
Krisha Morander, Clinical/Recruitment (Direct Hire /Permanent Placement
Krisham@Jmorrissey.com
INDI