Reviews selected populations of inpatient medical records to identify the principal and/or secondary diagnoses
Appropriately assigns the MS-DRG that most accurately reflects the severity of illness of the patient based upon the clinical evidence documented at the time of the record review
Demonstrates knowledge and understanding of severity based DRG systems; All Patient Refined and Medicare Severity (AP-DRG) and Medical Severity Diagnostic Related Group System (MS-DRG)
Demonstrates the ability to utilize the licensed software tool to perform and record daily medical record reviews
Interacts with the physician and/or other designated members of the healthcare team to ensure that vague or incomplete documentation is clarified within the medical record in a timely manner
Works with other departments such as coding, corporate compliance, quality, and finance to support Corporate Goals
Participates in the ongoing education of physicians, nurse practitioners, physician assistants and other healthcare team members to identify medical record documentation improvement opportunities employing conflict resolution skills as necessary
Utilizes critical thinking skills based upon extensive knowledge of disease processes and clinical outcomes to identify the need for further clarification of physician documentation within the medical record
Ensures that all written requests to physicians for additional documentation support Corporate Compliance policies
Requirements
Registered Nurse applicable state Licensure required
Bachelor's Degree Required
Appropriate professional certification required within 3 years of hire date per department protocol
5 years of related nursing experience preferred
Clinical experience within the assigned population
Extensive knowledge of disease processes and clinical outcomes
Case Management experience or background helpful
Strong financial and analytical skills preferred
Word, Outlook, Excel experience preferred
Benefits
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- 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
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