RN Clinical Documentation Specialist - Texas Health Huguley- operated as joint venture between Texas Health Resources and AdventHealth
Location Address: 11801 South Fwy., Burleson, TX 76028
Top Reasons to Work At Texas Health Huguley, Burleson, TX
Â·Our care for patients extend to the spiritual level by praying with patients and families and providing on call, 24 hours, 7 days a week Chaplains for spiritual support.
Â·Award winning facility and departments including âœGreat Place to Workâ by Beckerâ™s Hospital Review and Gallup.
Â·Work with the latest technology and top experts including âœDaisy Awardâ recipients while on the way to Magnet statusâ”2020.
Â·Amazing medical benefits through Aetna plus an onsite full-service fitness center.
Â·Growth opportunities designed for each employee.
Â·Located about 10 minutes from downtown Fort Worth and near TCU in the award-winning school district, Burleson ISD which also provides a low-cost of living.
Full Time / Days
You Will Be Responsible For:
Â·Facilitates modifications to clinical documentation to ensure that appropriate documentation is received for the level of service rendered to patients with a DRG based payer.
Â·Demonstrates knowledge of DRG payer issues, documentation opportunities, clinical documentation requirements, and referral policies and procedures.
Â·Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes.
Â·Initiates and updates the DRG worksheet to reflect any changes in status, procedures/treatments, and queries with physician to finalize diagnoses.
Â·Educates all internal customers on compliant documentation opportunities, coding and reimbursement issues, as well as performance improvement methodologies.
Â·Conducts follow-up reviews of clinical documentation (at least every 48 hours) to ensure points of clarification have been recorded in the patientâ™s chart.
Â·As necessary, reviews clinical issues with coding staff to assign a working DRG.
Â·Ensures documentation is technically accurate on a concurrent basis that facilitates the most appropriate code assignment for principle diagnosis, principle procedure, and co-morbid conditions and complications.
What You Will Need:
Â·RN, BSN preferred or AHIMA Certified Coder.
Â·5 years of recent clinical experience in a hospital setting or ICD-9 coding experience.
Â·Requires excellent observation skills, analytical thinking, problem solving, plus good verbal and written communication as well as strong interpersonal skills.
Â·Working expertise in the use of Microsoft Word, Power-Point, and Excel.
Â·Utilization Review and Coding experience preferred.
Facilitates appropriate clinical documentation through interaction with physicians, nursing staff, other patient care givers and Health Information Management coding staff to ensure that documentation supports the level of reimbursement assigned to each case to the extent that the physician concurs.
Internal Number: 20024119
AdventHealth Greater Orlando (formerly Florida Hospital) is one of the largest faith-based health care providers in the United States. For 150 years, we have carried on a tradition of providing whole-person care that not only addresses patients' physical ailments, but also supports their emotional and spiritual well-being. We demonstrate the same level of compassion and care for our employees as well, doing all that we can to help them realize their full potential – both personally and professionally.