Coding Clinical Documentation Specialist
4 days ago
- Currently licensed as an RN in the State of Florida.
- Associate's or Bachelor's degree from an accredited School of Nursing.
- A minimum of two years experience in nursing, utilization review/case management or other clinical area in an acute care facility.
- Experience in or knowledge of ICD-10 inpatient coding, as well as an understanding of the requirements for clinical coding and billing and knowledge of medical necessity criteria preferred.
- Good interpersonal, organizational, analytical and prioritization skills.
- Effective written and verbal communications skills required.
- One to three years progressive ICD-10 and CPT coding of hospital inpatient medical records of various complexity or 2 years minimum Clinical nursing in an acute care setting with knowledge of ICD-10 coding.
- Demonstrated ability to work independently with minimal supervision.
- Requires coding skills with experience with inpatient ICD-10-CM coding and working knowledge of the AHA "Coding Clinic," as well as a strong understanding of the requirements for clinical coding and billing, along with knowledge of medical necessity criteria.
- Effective interpersonal skills in order to interact effectively with all levels of hospital personnel.
- Demonstrated ability to work independently, with minimal supervision.
- Proficient computer skills, with the ability to use Word and Excel; software packages related to encoding and revenue.
- Concurrent auditing of inpatient medical record documentation.
- Applies professional attitude and communication skills when consulting with physicians and clinical staff.
- Consults with physicians and clinical staff for clarification when conflicting information appears in the medical record documentation.
- Communicates and works well with Interdisciplinary Team to ensure accurate and complete medical record documentation is captured concurrently, promoting team success through successful working relationships.
- Maintains and reports clinical documentation improvement results in a clear and concise manner to the medical and clinical staff, as well as the Coding Manager and Director.
- Exhibits skillful, up to date working knowledge of all coding guidelines researching websites, trade journals, publications and reference materials.
- Applies critical thinking skills to appropriately react to opportunities for process improvement.
- Exhibits appropriate ethical standards by adhering to coding policies and guidelines published in the AHA "Coding Clinic."
- Adheres to coding policies and guidelines as well as HIM department policies and procedures.
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