Clinical Documentation Medical Professional

SGS_JOB_1935

Admin/Clerical
 Texas
clinical documentation
inpatient coding

Contract - 3 Months + (Possibilities of Contract Extension)

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 is received for the level of services rendered to the patients.

Job Responsibilities:

  • A minimum of 3 years of experience in area of population to be served is required Three (3) years pervious acute hospital inpatient coding experience highly preferred
  • 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.

Skills:

  • clinical documentation, inpatient coding
  • M.D. or D.O.; ECFMG certification (preferred for Foreign Medical Graduates) RN or Current PA or RNP license required, as appropriate Certified Clinical Documentation Specialist (CCDS) highly preferred

Education/Experience:

  • Foreign or domestic Medical School Graduate (license not required), OR Graduate from a Physician’s Assistant or RN Program. Graduate from a Registered Nurse

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