Documentation Specialist

Department

10169 Enterprise Corporate - Clinical Documentation Improvement

Status

Full time

Benefits Eligible

Yes

Hours Per Week

40

Schedule Details/Additional Information

This is a hybrid position. Monday-Friday typical daytime hours.

Pay Range

$38.20 - $57.30

• Major Responsibilities:
• ReviewsMedicareinpatient medicalrecordstoensureappropriatedocumentationofco-morbiditiesandcomplicatingdiagnoses.
• Managesdailywork listofpatients meeting prioritylistdiagnosesfordocumentation improvement including topvolume/varianceDRG pairs, Pneumonia (DRG089, Respiratory (DRG079),Sepsis (DRG320, 321,and416).
• Queriesappropriate physicianfor necessary documentation.Follows-upto ensure query response from physician.
• Maintains database on queries, response to query and documentation outcomes.
• Usesdatabase reports toidentifyphysician education needs and to report onsuccessof documentationprogram. Develops and provides education programs toappropriate providers.
• Acts as a resource to the Utilization Managers for early assignment of a working DRG on all Medicare patients.
• Provideseducation/trainingtootherUMstafftomaintainabackuptothedocumentationspecialistincaseoftimeoff.Coordinatespatient care throughout inpatientorobservationstays.
  

ActivelyparticipatesinPerformance Improvement (PI)processes.

• Activelyparticipatesindepartmentalandorganization-wideLean/SixSigmaprogram100dayworkouts. Maintainsworkloadtoensure progress towards departmentalgoalsandobjectives.
• Identifies, documents andreportsvariances,quality,costand risk issuestomanagement. Supports andparticipatesinthereviewandmodificationofpolicies,proceduresand processes.
  
  

Performs otherrelateddutiesasassigned.

Licensure, Registration, And/or Certification Required

• Valid, active unencumbered Nursing license approved by the Georgia Licensing Board, HIM/Coding certification preferred
  
  

Education Required

• Graduate of an accredited School of Professional Nursing, BSN or MSN Preferred
  
  

Experience Required

• 5ormoreyearshospital experience caringforshort term acute patients Comprehensive understandingofreimbursement mechanisms
  
  

Physical Requirements And Working Conditions

• Full rangeofbodymotionincluding handling andliftingpatients, manual and finger dexterity andeye-handcoordination. Standing andwalkingforextensive periodsoftime.Occasionally liftsand carries weight upto50pounds.Abilitytodistinguish letters, numbers and symbols withvisionand hearing within normal rangetorespondtoCodealertsand equipment alarms.Work-relatedstressdue tovolumeand time constraints with irregularworkinghours.
  
  

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Our CommitmenttoYou

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance
  
  

Benefits And More

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, andShort- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program
  
  

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Documentation Specialist