Clinical Documentation Specialist - Ascension Health : Job Details

Facilitate improvement in overall quality, completeness and accuracy of medical record documentation. Complete admission reviews and assigns a working Diagnosis Related Group. Ensure the working DRG and other information are entered in the Clinical Documentation Improvement database. Initiate and maintain extensive interactions with physicians and mid-level providers to address the need for more detailed information in the medical record. Collaborate with healthcare professionals to ensure the severity of illness and level of services provided are accurately reflected in the medical record and to resolve physician queries and documentation issues prior to patient's discharge. Maintain accurate records of review activities, ensuring reports and outcomes of CDI efforts are valid. Requirements Licensure / Certification / Registration:One or more of the following required:Licensed Registered Nurse credentialed from the Wisconsin Board of Nursing or current home state license for multi-stat...Clinical, Specialist, Healthcare, Medical