1 Clinical Documentation Auditor- Care Management Job in Rocky, NC
UNC Health is Hiring a Clinical Documentation Auditor- Care Management Near Rocky, NC
Description
Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.
Summary:
Responsible for concurrent auditing of medical record documentation to ensure specificity of diagnoses and procedures to adequately reflect care provided, use of resources and diagnoses treated. Facilitate modifications to clinical documentation through extensive concurrent interaction with physicians and clinical staff to support that appropriate reimbursement and clinical severity is captured. Proactively coach physicians and clinical staff in areas where further specificity is needed in documentation. Supports timely, accurate, and complete documentation of clinical information. Educates the physicians and clinical staff on an ongoing basis.
Responsibilities:
Audits the Electronic Health Record and contacts physician as needed for further documentation and specificity.
Works collaboratively with physicians and follows up with recommendations to ensure that documentation is complete at discharge.
Monitors length of stay per working DRG and reevaluates account in a timely manner.
Works with the coding specialists to identify areas for documentation improvement.
Educates the physician on proper documentation requirements.
Queries the physician and clinical staff as needed to facilitate modifications to clinical documentation.
Assists the coding specialists on post-discharge documentation questions.
Reviews “no mcc and no cc” accounts within 24 hours of coding to see if clinical documentation leads to a physician query.
Experience as a Clinical Documentation Auditor preferred.
RN, BSN, LPN, RHIT, RHIA, CDIP or CCS
Other information:
0757
118170757
Job Details
Legal Employer: Nash Hospitals
Entity: Nash UNC Health Care
Organization Unit: NGH Case Management
Work Type: Full Time
Standard Hours Per Week: 40.00
Work Assignment Type: On-Site
Work Schedule: Variable
Location of Job: NASH HC
Exempt From Overtime: Exempt: No
Job Summary
Full Time
Hospital
$109k-140k (estimate)
04/25/2024
06/23/2024
www.unchealthcare.org
Morrisville, North Carolina
15,000 - 50,000
Tom Murray
<$5M
Hospital
Related Companies
About UNC Health
The UNC Health Care System is a not-for-profit integrated health care system, founded in 1998, owned by the State of North Carolina and based in Chapel Hill. It exists to further the teaching mission of the University of North Carolina and to provide state-of-the-art patient care. A distinguishing characteristic of UNC Health Care is its association with the UNC-Chapel Hill School of Medicine, a nationally eminent research institution. This relationship gives UNC Health Care a powerful pathway for moving the results of biomedical research from medical school laboratories to patient care settin...gs. UNC Health Care has been granted broad powers by the North Carolina General Assembly to assure its management flexibility and competitiveness in a rapidly changing health care business environment. The enterprise is governed by a board of directors appointed by the University of North Carolina.
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