Clinical Documentation Medical Professional \ 1955

Clinical Documentation Medical Professional  1955

Shift: 1 Monday-Friday 8 hours
Start: 08:00:00
End: 17:00:00
5101 O'Connor Blvd, Irving, TX 75039

Notes:
Clinical Documentation Medical Profession - REMOTE

Proof of education at time of submission:
Foreign or domestic Medical School Graduate (license not required), OR Graduate from a Physician's Assistant or RN Program
Min 3yrs experience

Summary:

The Clinical Documentation Medical Professional is responsible for facilitating improvement in the overall quality and completeness of the medical record documentation. The CDMP will provide support and expertise through comprehensive assessment and review of inpatient medical records. The CDMP will facilitate accurate DRG assignment and obtain appropriate documentation through extensive interaction with physicians, patient caregivers and health information management coding staff to ensure that reimbursement (reflecting proper quality of care and appropriate reimbursement) is received for the level of services rendered to the patients.

Responsibilities:
Performs concurrent and retrospective reviews of the medical record utilizing practice experience, evidence-based knowledge, protocols, and criteria. Works closely with the medical staff and other healthcare team member to help identify potential gaps in physician documentation and ensures appropriate reimbursement is received for the level of service rendered to all patients. Utilizes research, analytic data, observations, and practice experience to provide recommendations to improve the overall quality and completeness of clinical documentation.

Establishes cooperative and multidisciplinary relationships with physicians, coding staff and other health team members. Acts as a resource to the CDI department and health team members related to optimal documentation, educational needs, and successful problem resolution. Demonstrates familiarity with MS-DRG/APR-DRG's and Inpatient Prospective Payment Sy

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