Jan 22, 2021

Clinical Documentation Improvement Specialist

  • Emory Healthcare
  • Atlanta, GA, USA

Job Description

Clinical Documentation Improvement Specialist

Division
Emory Healthcare Inc.
Campus Location
Atlanta, GA, 30342
Campus Location
US-GA-Atlanta
Department
EHI Clinical Documentation Imp
Job Type
Regular Full-Time
Job Number
54279
Job Category
Nursing
Schedule
8a-4:30p
Standard Hours
40 Hours

Overview

At Emory Healthcare, we integrate science and caring to change the face of health care. Our team members are courageous individuals who are willing to challenge the status quo and help find solutions to complex problems. We’re empowered to influence change for, and with, our patients, their families, the community and each other.

As one of the leading academic medical systems, we’re eager to share what we learn with hospitals around the country, and the world. We’ve got the backing, knowledge, experience and permission to lead the way in developing new and better approaches to preventing and treating disease, and our patients get treatments years before anyone else.

We’re defining a new standard of care for humankind. Are YOU ready to join us?

Description

JOB DESCRIPTION:

No holidays or weekends required.

  • Provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation of patient acuity and to support acute care services that were delivered.

  • The goal of concurrent review includes facilitation of appropriate physician documentation of care delivery to accurately reflect patient severity of illness and risk of mortality.

  • Specific reviews are both determined internally and by requirements/requests of external payers or regulatory agencies and play a significant role in reporting quality of care outcomes and in obtaining accurate and compliant documentation for billing of services rendered.

    MINIMUM QUALIFICATIONS: Graduate of an accredited school of nursing. Current licensure as a Registered Nurse approved by the Georgia Licensing Board. Minimum of 3 years recent clinical experience in an acute care setting, (Critical Care, Medical/Surgical or Emergency department nursing preferred; or 2 years experience in a specialty area).

    PHYSICAL REQUIREMENTS: (Light 1-10 lbs): 0-33% of the work day (occasionally), negligible 34-66% of the workday (frequently), negligible 67-100% of the workday (constantly). Lifting 10 lbs max, carrying of small articles such as dockets, ledgers, files, small tools, occasional standing & walking, frequent sitting, close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.

    ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste. chemicals/gases/fumes/vapors, communicable diseases, electrical shock , floor surfaces, hot/cold temperatures, indoor/outdoor conditions, latex, lighting patient care/handling injuries, radiation, shift work, travel may be required, use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.