- Completes admission and continued stay reviews using the CDMP guidelines
- Reviews concurrent documentation from all disciplines to capture best practice quality indicators
- Conducts follow‐up reviews of clinical documentation to ensure points of clarification have been recorded in the patient's chart.
- Completes reviews in a timely manner as outlined in CDMP guidelines. 2. Demonstrates knowledge of CDMP guidelines and program, DRG payor issues, documentation opportunities, clinical documentation requirements, and referral policies and procedures.
- Collaborates with hospital quality team, case managers and coding specialists.
- Clarifies questions with other coder specialists and/or department manager.
- Educates internal customers on compliant documentation opportunities, coding and reimbursement issues, as well as performance improvement methodologies.
- Reviews clinical issues with coding staff to assign a working DRG. 3. Utilizes CDMP software/computer applications.
- Updates worksheets to reflect any changes in status, procedures/treatments, and conferring with physicians to finalize diagnoses and quality measures.
- Assists with management of CDMPTrak and reporting as designated.
- Assists with special projects as requested. 4. Facilitates teamwork and performance improvements in the organization.
- Communicates in a positive and productive manner.
- Promotes growth and education of others by sharing knowledge and resources.
- Works collaboratively with other department staff and physicians.
- Participates in performance improvement activities.
- Maintains minimum 8 hrs continuing education per year
-
RN Clinical Documentation Specialist
3 weeks ago
Guthrie Health Binghamton, United States Full timeUp To $25,000 Sign On Bonus For Qualified RNs · Position Summary: Responsible for improving the overall quality and completeness of clinical documentation Facilitates modifications to clinical documentation through interaction with physicians, nursing staff, other patient caregiv ...
-
Clinical Documentation Improvement Specialist
13 minutes ago
United Health Services Binghamton, United StatesClinical Documentation Improvement Specialist - Per Diem, 33 Lewis Rd United Health Services is seeking a Clinical Documentation Improvement Specialist - Per Diem to join our Lewis Rd Clinical Documentation Improvement department at 33 Lewis Rd in Binghamton, NY. This is a Per Di ...
-
Rn Clinical Documentation Specialist
2 weeks ago
The Guthrie Clinic Binghamton, United States**Position Summary**:Responsible for improving the overall quality and completeness of clinical documentation Facilitates modifications to clinical documentation through interaction with physicians, nursing staff, other patient caregivers, medical records coding staff to ensure t ...
-
Medical Assistant
5 days ago
Concentra Broome County, United StatesOverview · Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. Our mission is to improve the health of America's workforce, one patient at a tim ...
-
Danone Broome County, United StatesShort Intro and About the Job · Quality, efficiency, and safety all play a big role in our work at Danone. Manufacturing the best products and supplying them to meet demand is a key driver for the Supply Chain team. We are currently looking to hire a Senior Manager, Customer So ...
-
Registered Nurse 1
3 weeks ago
NYS Office for People With Developmental Disabilities Binghamton, United StatesMinimum Qualifications · Must have nursing license. · Duties Description · Monitors individual's medical/health needs and services. · Visits each assigned home weekly (minimally) to provide nursing oversight and complete review of items · Interacts with primary, medical speciali ...
-
Foster Care Family Specialist
3 weeks ago
Berkshire Farm Center & Services for Youth Binghamton, United States Full timeDescription · Join Our Mission · The Family Specialist is responsible for coordinating a comprehensive case management plan for youth and families to ensure the safety, permanency and well-being of youth in foster care. · Job Responsibilities · Conducts assessment of family's ...
-
Customer Service Specialist
2 weeks ago
AdaptHealth LLC Binghamton, United StatesJob Description · Job DescriptionDescription:AdaptHealth Opportunity – Apply Today · At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives – out of the hospital and in their homes. We are actively recruiting ...
-
Customer Service Specialist
3 weeks ago
AdaptHealth LLC Binghamton, United StatesJob Description · Job DescriptionDescription:AdaptHealth Opportunity – Apply Today · At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives – out of the hospital and in their homes. We are actively recruiting ...
-
lpn patient navigator
3 weeks ago
Guthrie Health Binghamton, NY , USA, United StatesLPN - Patient Navigator - Pulmonary Nodule Program · Position Summary: The Patient Care Coordinator is a LPN/Clinical position that supports Providers as a patient resource specialist offering management of patient care referrals and accessing regional resources. Assists clinical ...
-
Verisma Binghamton, United States Part timePart Time - Onsite Release of Information Specialist (ROIS) · Summary of Position: · The Release of Information Specialist (ROIS) initiates the medical record release process by inputting data into Verisma Software. The ROIS works quickly and carefully to ensure documentation is ...
-
ON-SITE Compliance Specialist
2 days ago
CRM Rental Management, Inc. Binghamton, United StatesJob Description · Job DescriptionON-SITE - COMPLIANCE SPECIALIST - AFFORDABLE HOUSING · Come join our AMAZING Team · CRM Rental Management, Inc. is currently seeking an experienced Full-Time, On-Site, Compliance Specialist - Affordable Housing for the Southern Tier, NY region Tax ...
-
Travel Cytotechnologist
1 week ago
LanceSoft Binghamton, NY, United StatesLanceSoft is seeking a travel Cytotechnologist for a travel job in Binghamton, New York. · Job Description & Requirements · Specialty: Cytotechnologist · Discipline: Allied Health Professional · Start Date: ASAP · Duration: 13 weeks · 40 hours per week · Shift: 8 hours, days · Em ...
-
Employment Specialist
2 days ago
Community Options Binghamton, United StatesCommunity Options, Inc. is a national non-profit agency providing services to individuals with disabilities in 12 states. · We are seeking an Employment Specialist in Binghamton, NY. The Employment Specialist is responsible for training individuals with intellectual and developm ...
-
Registered Nurse
4 days ago
Personalcare Registered Professional Nursing, P.C. Binghamton, United States: · We are looking for enthusiastic and hard-working Registered Nurses (RN) to work full-time on the day shift in the Medical Department at the Broome County Correctional Facility located in Binghamton, NY. The RN will monitor and evaluate nursing care in accordance with Personal ...
-
Fresh Merchandise Operations Specialist
3 weeks ago
Acosta Group Binghamton, United States**Fresh Merchandise Operations Specialist** · **General Information** · **Company:** ACO-US · **Location:** BINGHAMTON, New York, 13905 · **Ref #:** 47913 · **Pay Rate:** $ 25.10 · **Experience/skills and/or location may influence position wage rate** · **Range Minimum:** ...
-
Travel Cytotechnologist
1 week ago
LanceSoft Binghamton, United StatesJob Description · LanceSoft is seeking a travel Cytotechnologist for a travel job in Binghamton, New York. · Job Description & RequirementsSpecialty: Cytotechnologist · Discipline: Allied Health Professional · Start Date: ASAP · Duration: 13 weeks · 40 hours per week · Shift: 8 h ...
-
IT Specialist
1 week ago
City of Binghamton Binghamton, United StatesCity of Binghamton · IT Specialist · Binghamton , · New York · Apply Now · IT Specialist - General employment applications may be obtained at the office of the Municipal Civil Service Commission, 4th floor, City Hall, Governmental Plaza, Binghamton, New York, 13901 or from t ...
-
General Clerk
2 weeks ago
Ladgov Corporation Binghamton, United StatesJob Description · Job DescriptionPosition Title: General Clerk · Job Description: · We are seeking a highly organized and detail-oriented individual to join our team as a Payment Processing and Administrative Support Specialist. In this role, you will play a crucial part in the e ...
-
Binghamton University Binghamton, United StatesAbout Binghamton University: · Binghamton University is a world-class institution that unites more than 130 broadly interdisciplinary educational programs with some of the most vibrant research in the nation. Our unique character - shaped by outstanding academics, facilities and ...
RN Clinical Documentation Specialist - Binghamton, United States - Guthrie Health
Description
Position Summary:
Responsible for improving the overall quality and completeness of clinical documentation Facilitates modifications to clinical documentation through interaction with physicians, nursing staff, other patient caregivers, medical records coding staff to ensure that clinical documentation accurately reflects service rendered to patient.
Supports the accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes. Provides education to members of the health care team on an ongoing basis using diverse methodology.Education, License & Cert:
BSN
Bachelors Degree:
RN;
BSNrequired. Certification in area of specialty is required within 3 years.
3 or more years of CDI experience in an acute care setting along with current CCDS certification may substitute for
BSNRN‐PA Registered Nurse ‐ PA:
Current Pennsylvania State registered nurse license.
Experience:
Prior CDI experience preferred. Five years recent acute clinical experience in a hospital setting required. Critical care, utilization review or coding experience required. Requires excellent communication skills (both verbal and written), assessment/observation skills, demonstrated analytical thinking, and problem solving skills. Meets minimum score on pre‐hire competency test.
Essential Functions: 1.
Facilitates modifications to clinical documentation for designated patients to ensure that documentation reflects the level of services rendered which supports proper coding, billing and reimbursement and quality of care outcomes.
Other Duties:
It is understood that this description is not intended to be all inclusive, and that other duties may be assigned as necessary in the performance of this position.
The pay range for this position is $ $50.11 per hour.