Top 18 Clinical documentation specialist Jobs in Crown Point In

CLINICAL DOCUMENT SPECIALIST
Methodist Hospitals —Merrillville, IN
- Hybrid work
- Nursing
- RN License
- Hospital
Coder II - Inpatient Coder - Remote
Powers Health —Munster, IN
- Full-time
- Remote
- Anatomy knowledge
- Microsoft Excel
- Microsoft Outlook
- Wellness program
- Health savings account
7d
EPIC Support Specialist-Clinic (Registration)
Powers Health —Merrillville, IN
- Full-time
- CPR Certification
- BLS Certification
- Mid-level
CODING AUDITOR
Methodist Hospitals —Merrillville, IN
- Hybrid work
- Anatomy knowledge
- Writing skills
- English
Medical Scribe - Bilingual Spanish Required
Oak Street Health —Blue Island, IL
- $17.00 - $31.30 an hour
- Full-time
- Computer literacy
- HIPAA
- Clinic
- Health insurance
- Dental insurance
Medical Scribe - Bilingual Spanish Required
Oak Street Health —Blue Island, IL
- $17.00 - $31.30 an hour
- Full-time
- Computer literacy
- HIPAA
- Clinic
- Health insurance
- Dental insurance
Certified Medical Coder
Edgewater Health —Gary, IN
- Extended hours
- Anatomy knowledge
- Customer service
- Writing skills
Quick Apply
13d
Revenue Cycle Certified Coder
Orthopedic Specialists of Northwest Indiana, LLC —Saint John, IN
- $20 - $25 an hour
- Full-time
- Anatomy knowledge
- Computer literacy
- Writing skills
Quick Apply
Medical Scribe
Oak Street Health —Chicago Heights, IL
- $17.00 - $31.30 an hour
- Full-time
- Computer literacy
- Writing skills
- HIPAA
- Health insurance
- Dental insurance
Care Team Nurse - RN
HealthLinc —East Chicago, IN
- Full-time
- CPR Certification
- Nursing
- RN License
Quick Apply
Registered Nurse - In Center
Dialysis Care Center —Chicago Heights, IL
- $17 - $27 an hour
- Weekends as needed
- CPR Certification
- Nursing
- Microsoft Excel
- Health savings account
- AD&D insurance
Quick Apply
Staff RN - ECMO Spec / FT, nights
Children's Nebraska —United States
- Overtime
- Nursing
- RN License
- BLS Certification
- Flexible schedule

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Coder II - Inpatient Coder - Remote
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Completes queries where necessary and works closely with the Clinical Documentation Improvement Team to ensure accurate documentation to support code and DRG…
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Medical Scribe
Oak Street Health —Columbus, OH
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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Medical Scribe
Oak Street Health —Columbus, OH
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$17.00 - $28.46 an hour

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clinical documentation specialist jobs near crown point in

CLINICAL DOCUMENT SPECIALIST

Methodist Hospitals -
Merrillville, IN

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Job Details

Qualifications

Inpatient experience
HIPAA
Health information regulatory compliance
Computer skills
Health information management
Clinical confidentiality policies
Clinical documentation standards
Hospital experience

Full Job Description

Overview:

Facilitates and obtains appropriate and complete medical record documentation to reflect patient acuity level and care provided. Ensures that clinical documentation is accurately and compliantly captured at the point of service.

Responsibilities:

PRINCIPAL DUTIES AND RESPONSIBILITIES(*Essential Functions)

Responsible for facilitating concurrent documentation of the medical record to achieve accurate inpatient coding and legitimate DRG assignment for billing integrity. Reviews all provider documentation as necessary to ensure complete and accurate documentation. Collaborates with HIM Coders to ensure that the clinical information used in measuring and reporting outcomes is complete and accurate and reimbursement is received fro the level of services rendered to patients with DRG-based payers.
Participates in education of members of the patient care team on documentation guidelines as guided by department leadership.
Collect and analyze data to provide reports and make recommendations.
Completes admission reviews of patient records within 24-48 hours of admission for specified patient population to evaluate documentation and generate the working DRG.
Conducts concurrent follow-up reviews of records as necessary, not to exceed 4 days from prior review. Update notes and revise working DRG based on new documentation.
Electronically query physicians/other providers regarding missing, unclear, or conflicting medical record documentation and obtains additional documentation within the medical record when needed.
Document all reviews in the CDI application to facilitate tracking, data collection, and communication with coders and department leaders.
Take all necessary action to resolve physician queries prior to patient discharge.
Contribute to and participate in physician, nursing, and other ancillary staff education documentation requirements.
Utilize EHR Clinical Documentation Improvement process flow tools to collect data to support reporting of required indicators - Number of reviews per day/patient - Query generation - Query completion to include outcome - Current and expected DRG with weight change - APR-DRG SOI score improvement.
Make recommendations for change processes required to capture needed documentation, such as note template and query content redesign.

Qualifications:

JOB SPECIFICATIONS(Minimum Requirements)

KNOWLEDGE, SKILLS, AND ABILITIES

Registered Health Information Technologist/Registered Health Information Administrator
Excellent communication skills
Ability to work independently and in a team environment.
Self-starter, professional courtesy, positive attitude.
Demonstrates knowledge of procedures for protecting and maintaining security, confidentiality, and integrity of employee, patient and family, organizational, or other medical information. Understands and supports the commitment of Methodist Hospitals in adhering to federal, state, and local laws, rules, and regulations governing ethical business practices for healthcare providers.

EDUCATION

Requirements for this position are: a. An Associate's Degree from a recognized college or university in Nursing and a current Registered Nurse licensure in the State of Indiana, OR b. A Bachelor's Degree from a recognized college or university in health records management or a closely related field and RHIA.
Associates Nursing Required
Bachelors Health Information Required
Minimum 2 years inpatient hospital coding experience
2 years Healthcare/Medical - Health Information Systems/Technology/MIS Required
Minimum 3 years' experience in Clinical documentation Improvement (Preferred), hospital inpatient quality chart review or Case Management
RHIA - Registered Health Info Administrator
RHIT - Registered Health Info Technician
Licensed Registered Nurse

STANDARDS OF BEHAVIOR
Meets the Standards of Behavior as outlined in Personnel Policy and Procedure #1, Employee Relations Code.

CONFIDENTIALITY/HIPAA/CORPORATE COMPLIANCE
Demonstrates knowledge of procedures for protecting and maintaining security, confidentiality and integrity of employee, patient, family, organizational and other medical information. Understands and supports the commitment of Methodist Hospitals in adhering to federal, state and local laws, rules and regulations governing ethical business practices for healthcare providers.

DISCLAIMER - The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. The statements are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required.

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Refine Your Search

clinical documentation specialist jobs in crown point in

CLINICAL DOCUMENT SPECIALIST

Coder II - Inpatient Coder - Remote

EPIC Support Specialist-Clinic (Registration)

CODING AUDITOR

Medical Scribe - Bilingual Spanish Required

Medical Scribe - Bilingual Spanish Required

Certified Medical Coder

Revenue Cycle Certified Coder

Medical Scribe

Care Team Nurse - RN

Registered Nurse - In Center

Staff RN - ECMO Spec / FT, nights

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