Job description
Location
Fayetteville, North Carolina
Department
Health Information Management
Job Family
Professional
Work Shift
Days (United States of America)
Summary
Facilitate clarification to clinical documentation in the medical record; through extensive concurrent reviews with interactions with physicians, nursing staff, other interdisciplinary team caregivers and health information management coding staff that support appropriate acuity, resource utilization, quality, severity of illness/risk of mortality and reimbursement. Ensures that clinical severity is captured for the level of service rendered to all patients with a DRG based payor (i.e. Medicare, Medicaid, Champus.) Supports timely, accurate, and completed documentation of clinical information used for measuring and reporting physician and medical center outcomes. On an ongoing basis, will provide educate requirements on clinical documentation to all members of the interdisciplinary care team.
Knowledge, Skills, and Abilities
Five (5) years recent clinical experience in a hospital setting or four (4) years recent clinical experience. Two (2) years ICD-9/10 Coding experience and Utilization Review experience preferred but not required. Requires excellent observation skills, critical analytical thinking, problem solving, plus good verbal and written communication skills. Requires basic knowledge of computers, windows software, and keyboarding skills. Works with highly sensitive information and materials where confidentiality is of utmost importance. Must be capable of communicating with people from various professions and backgrounds with tact and diplomacy. Professional, team player, and ability to remain calm under stressful situations.Some light carrying, lifting may be required. Occasional walking may be required to access all areas of the medical center. Near visual acuity to proofread hand or type written materials. Reaching, handling, and use of fingers to operate office machinery. Position may involve skin, eye, mucous membrane, or parental contact with blood or other potentially infectious materials.
Required Licenses and Certifications
RN - Board Of Nursing
Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity
Job Type: Full-time
About Cape Fear Valley Medical Center
CEO: Michael Nagowski
Revenue: Unknown / Non-Applicable
Size: 1001 to 5000 Employees
Type: Hospital
Website: https://www.capefearvalley.com/home/index.aspx