Clinical Documentation Specialist II, Full-Time, Days
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Job Description
Inspire health. Serve with compassion. Be the difference. Job Summary Reviews medical records to identify documentation opportunities to accurately represent the severity of illness, risk of mortality, length of stay, intensity of service, and hospital quality metrics. Reviews medical records, submits provider queries, and reconciles discharged records. Collaborates with Coding and other departments to facilitate the highest level of accuracy, quality, and completeness of provider documentation as well as accurate code assignment. Serves as second level reviewer, education resource, and preceptor. Participates in education to providers, CDI/Coding teams, and other departments. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. Conducts concurrent medical record reviews of selected patient health records to address clarity, completeness, consistency, and accur...