Georgia Orthopaedic Society.
Clinical Documentation Integrity Specialist
Georgia Orthopaedic Society., Los Angeles, California, United States, 90079
Description
Make a positive impact on one of the nation’s top health systems. Help ensure the efficient delivery of award-winning patient care. Take your professional expertise to the next level. UCan do all this and more at UCLA Health.You will become a member of our highly successful Documentation Improvement Integrity team, including all modalities. This will involve daily reviews of high acuity patient records; continuously communicating with department staff; educating physicians, residents and mid-levels; and assisting with appropriate documentation strategies. Partnering with Medical Coding, Case Management and the Quality team, you will gather/analyze information to provide comprehensive medical record documentation that accurately reflects clinical treatment, decisions, and diagnoses. You will utilize your clinical expertise and coding knowledge to identify opportunities and ensure accuracy and completeness of clinical documentation. You will also leverage physician queries to improve documentation quality while providing key support to medical coders, case managers and Quality staff.Salary Range: $92,600.00 - $202,200.00/yearQualifications
We’re seeking a detail-oriented, collaborative, self-directed individual with:Bachelor’s degree in health-related field, preferredA Registered Nurse (RN) license or MD diploma (or equivalent) requiredFive or more years of clinical hospital experience; or equivalent of education and experience in case management, utilization management or prior clinical documentation review experience, requiredKnowledge of coding guidelines and coding clinic, requiredKnowledge of laws, rules and regulations regarding appropriate clinical documentation for Medicare, Medi-Cal, CCS etc.Strong leadership, supervisory, and training skillsExcellent critical thinking abilitiesExperience working within EPIC and 3M 360 Encompass CAC, requiredResourcefulness and strong communication, organizational, and analytical skillsAbility to work effectively with physician/staff and interdisciplinary teamsComputer proficiency and proficiency in Word, Excel and PowerPoint, requiredSkill in abstracting/interpreting medical information from patient records, requiredClinical experience sufficient to understand and communicate medical diagnoses and courses of treatment to professional and non-professional personnel, requiredKnowledge of computer word processing, database programs, and ability to write reports and do graphical analysis, requiredNote: Skills may be subject to test.
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Make a positive impact on one of the nation’s top health systems. Help ensure the efficient delivery of award-winning patient care. Take your professional expertise to the next level. UCan do all this and more at UCLA Health.You will become a member of our highly successful Documentation Improvement Integrity team, including all modalities. This will involve daily reviews of high acuity patient records; continuously communicating with department staff; educating physicians, residents and mid-levels; and assisting with appropriate documentation strategies. Partnering with Medical Coding, Case Management and the Quality team, you will gather/analyze information to provide comprehensive medical record documentation that accurately reflects clinical treatment, decisions, and diagnoses. You will utilize your clinical expertise and coding knowledge to identify opportunities and ensure accuracy and completeness of clinical documentation. You will also leverage physician queries to improve documentation quality while providing key support to medical coders, case managers and Quality staff.Salary Range: $92,600.00 - $202,200.00/yearQualifications
We’re seeking a detail-oriented, collaborative, self-directed individual with:Bachelor’s degree in health-related field, preferredA Registered Nurse (RN) license or MD diploma (or equivalent) requiredFive or more years of clinical hospital experience; or equivalent of education and experience in case management, utilization management or prior clinical documentation review experience, requiredKnowledge of coding guidelines and coding clinic, requiredKnowledge of laws, rules and regulations regarding appropriate clinical documentation for Medicare, Medi-Cal, CCS etc.Strong leadership, supervisory, and training skillsExcellent critical thinking abilitiesExperience working within EPIC and 3M 360 Encompass CAC, requiredResourcefulness and strong communication, organizational, and analytical skillsAbility to work effectively with physician/staff and interdisciplinary teamsComputer proficiency and proficiency in Word, Excel and PowerPoint, requiredSkill in abstracting/interpreting medical information from patient records, requiredClinical experience sufficient to understand and communicate medical diagnoses and courses of treatment to professional and non-professional personnel, requiredKnowledge of computer word processing, database programs, and ability to write reports and do graphical analysis, requiredNote: Skills may be subject to test.
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