Bachelor of Science in Nursing required, 3 years prior work experience, Three years clinically well-rounded medical or surgical acute care nursing experience or clinical quality management experience.
- Utilization management, patient outcomes management, risk management, and/or financial analysis experience-required.
- Thorough knowledge of clinical documentation guidelines, policies, and procedures and a working knowledge of DRG coding-required.
Primary Duties
Assist in facilitating the improvement of the overall quality, completeness and accuracy of medical record documentation.
Interact extensively with physicians, nursing staff and other patient caregivers to achieve appropriate clinical documentation to support the medical necessity and level of services rendered to all patients.
Assist with the development and delivery of education for all members of the patient care team on documentation guidelines, coding, and reimbursement issues on an ongoing basis.
Performs other related job duties as assigned.
