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Clinical Documentation Specialist, Northwestern, GA

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Job Description

Clinical Documentation Specialist
Atlanta Area, Georgia (approximately 40 minutes outside the city)

Are you ready to experience a new quality of life in an upscale rural community, just 40 minutes outside Atlanta? Enjoy long warm summers and short mild winters with convenient access to some of the best entertainment, cultural and educational offerings in the nation. Other area attractions include expansive parks, ice skating rinks, horseback riding, world-class golf courses and water skiing. Our client is a highly progressive JOINT COMMISSION accredited regional health system (not-for-profit) with approximately 30 outpatient practices.
 
Responsibilities will include: Completing admission reviews of patient records within 24 hours of admission for a specified patient population in order to evaluate the clinical documentation used to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate and optimal DRG assignment; Conducting follow-up reviews of patients as necessary to support and assign a final DRG assignment upon patient discharge; Querying physicians regarding missing, unclear, or conflicting medical record documentation and obtaining additional documentation within the medical record when needed; Collaborating with case managers, nursing staff, coding staff and other ancillary staff regarding interaction with physicians on documentation and resolve physician queries prior to patient discharge; Participating in the analysis and trending of statistical data for specific documentation needs, coding and reimbursement issues identified through daily documentation reviews and aggregate data analysis; Facilitating change processes required to capture needed documentation, such as form design.

Position requirements: Associates Degree or comparable education; RHIA or RHIT with CCS certification with 2-5 years acute care coding experience OR RHIA or RHIT with 3-5 years acute care coding experience OR RN or LPN with CCS certification with 2-5 years coding experience; Ability to be flexible in work schedule and job assignments; Excellent written, communication and organizational skills; Experience with an electronic medical record and ability to use various computer software programs such as Word, Excel, etc.

All inquiries and resumes will be handled in complete confidence.

Contact our offices today for more details!

jim brown | chief talent officer
Galileo Search
telephone: (770) 522.4948 ext. 101
toll-free: (800) 680.6130 ext. 101
email: jimbrown@galileosearch.com

OR

erica strahl | recruitment specialist
Galileo Search
telephone: (770) 522.4948 ext. 102
toll-free: (800) 680.6130 ext. 102
email: estrahl@galileosearch.com
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