In this role, the selected candidate will be conducting thorough analysis encompassing clinical review and assessment of patient records, focusing on the clinical documentation of patient conditions and patient care for the application of appropriate diagnosis related groups (DRG) assignment and ICD-9 diagnosis and procedure coding. Develops, communicates, and implements solutions/programs to address problem areas identified through quality studies working directly with physicians and other health professionals.
In this role, the selected candidate will assist in medical screening process by documenting appropriateness of patient admission, working DRG & LOS info on worksheet and computer system as appropriate.
In this role, you will provide education and / or continuing education programs for referral sources within guidelines of facility and company policy. Utilize appropriate company resources to maintain and develop business opportunities. Maintain market awareness and prepare competitive updates.
In this role, you will participate in the process of soliciting and developing performance improvement ideas ("candidate workstreams"), though interaction with stakeholders and examination of population-level analytic data.
In this role, you will under the direction of the Quality Manager, performs chart reviews for core measures and other quality initiatives, and maintains strict confidentiality of all data and information.