Job Summary

Facilitates clinical documentation improvement through the identification of documentation issues: has extensive day to day interaction with providers, other patient care givers, coding staff and Care Coordinators; collects and analyzes data and reports; develops, coordinates and/or provides education regarding documentation opportunities. Reviews the quality of documentation in the patient medical record to enhance quality of care, ensure accurate data reporting to regulatory agencies, and appropriate reimbursement. Collaboration with the coding team to promote accurate patient diagnostic and procedural information in the medical record and final DRG assignment.

Qualifications

• RN with valid Florida license and at least 5 years acute care clinical experience OR HIM degree with commensurate CDI experience; strong written and oral communication skills, computer literacy.
• Familiar with MSDRGs, APR DRGs and coding guidelines.
• Understanding of DRG assignment and impact to quality metrics and ratings.