UHS
Johnson City, NY
Binghamton, NY
Full time
R0000014593
Job Responsibilities
Review inpatient clinical documentation to improve the accuracy, completeness, and quality of the medical record.
Conduct initial and follow-up documentation reviews to ensure diagnoses, procedures, and clinical indicators are appropriately documented.
Collaborate with physicians and other healthcare providers to clarify documentation and support accurate clinical representation of patient care.
Develop and issue compliant, clinically supported provider queries in accordance with AHIMA, ACDIS, and organizational guidelines.
Assign and validate working MS-DRG and APR-DRG classifications through concurrent documentation review and coding analysis.
Serve as a clinical documentation resource by educating providers and healthcare professionals on documentation best practices and ICD-10 requirements.
Partner with coding staff to resolve documentation and coding questions and ensure accurate reimbursement and quality...