Fully Remote RN Contract role- Clinical Documentation Specialist Must be a Registered Nurse (RN) or Registered Health Information Administrator (RHIA) and have one of the following coding certifications: CCS or CCDS or CDIP. Must have a Bachelor's degree in Nursing, Health Information Management or Health Informatics. Must have 4 years experience in nursing or inpatient coding with 2 years experience of CDI. *Must have TX RN License or Compact license ESSENTIAL FUNCTIONS: Facilitates accurate, timely, and complete documentation of medical conditions and treatment in patient records. Performs review of record to determine complete, accurate documentation of patient condition and treatment. When appropriate, update working DRG. Promotes and obtains appropriate documentation for any clinical conditions or procedures to support the appropriate severity of illness (SOI), expected risk of mortality (ROM) and complexity of care of the patient through extensive interaction with practitioners. Demonstrates ability to recommend proficient queries to practitioners or support staff regarding missing, unclear, or conflicting health record documentation in an effort to obtain additional documentation within the health record as needed. Appropriately escalates provider non-responses or inappropriate responses for reconciliation. Collaborates with Health Information Management coders, other Clinical Documentation Improvement Specialists and others to reconcile potential documentation and coding opportunities which might include analyzing working versus final coded DRG. Collaboratively works with interdisciplinary teams including, but not limited to physicians, mid-level providers, nurses, Patient Safety and Health Care Improvement. Collaboratively works with interdisciplinary teams to validate accurate DRG assignments. Develops and/or provides ongoing education and information regarding documentation opportunities to practitioners, Health Information management Coders, and other Clinical Documentation Improvement Specialists. Promotes related education to others such as allied health professionals, Administration, Utilization Review, Comprehensive Care specific to documentation and its effect on SOI, ROM, CMI, reimbursement and data reporting. Formulates, interprets, and analyzes data relative to opportunities to improve documentation practices.
The Kerryman Bar & Restaurant is an award winning establishment that has been open in River North for over 20 years. We are now hiring for a part time busser. Candidate must be able to work nights and weekends. The successful candidate should be prepared to work as...