Job added in hotlist
Applied job
Contract job
Recruiter job
Employer job
Expanded search
Apply online not available
View more jobs in Phoenix, AZ
View more jobs in Arizona

Job Details

Clin Documentation Specialist

Company name
Phoenix Children's Hospital

Phoenix, AZ

Apply for this job


Clin Documentation Specialist



Position Details

Department: Coding - IP

Category: Hlth Info Mgmt/Med Records

Location: Phoenix

Posting #: 387043

Date Posted: 4/11/2018

Employee Type: Regular

Position Summary

This position facilitates modifications to clinical documentation through extensive concurrent interaction with physicians, nursing staff, other patient caregivers, and HIM coding staff to support that appropriate reimbursement and clinical severity is captured for the level of service rendered to all patients. This position reviews inpatient medical records while patients are still in-house for proper documentation; includes new admissions to the facility, as well as re-reviews periodically until the patient is discharged and is responsible for communication with clinicians and physicians to ensure timely and accurate documentation. This position provides training and education as needed. Individual will be responsible for the review of payer denials and participation in the appeal of clinical validation denials. This position receives regular supervision of work activities from the Mgr, Coding Compliance & CDI and does not provide direct supervision.

PCH Values

  • Family-Centered care that focuses on the need of the child first and values the family as an important member of the care team

  • Excellence in clinical care, service and communication

  • Collaborative within our institution and with others who share our mission and goals

  • Leadership that set the standard for pediatric health care today and innovations of the future

  • Accountability to our patients, community and each other for providing the best in the most cost-effective way.

Position Duties

  • Clinical Documentation

    • Communicates with the individual physician or medical staff departments to facilitate complete and accurate documentation of the inpatient record.
    • Facilitates modifications to clinical documentation supporting appropriate reimbursement is received for the level of service rendered to all patients with a DRG based payer.
    • Initiates and performs concurrent documentation review of selected inpatient records to clarify conditions/diagnoses and procedures where inadequate or conflicting documentation exists.
    • Assists the HIM department in facilitation of the physician query process.
    • Performs focused reviews at the discretion of the Manager, IP Coding and CDI and HIM Director.
    • Reviews the medical record and provides supporting documentation to assist with the appeal of payer clinical validation denials.
    • Serves as a resource for physicians to help link ICD-10-CM coding guidelines and medical terminology to improve accuracy of final code assignment.
    • Works in a collaborative fashion with the Health Information Management department in concurrently reviewing the inpatient medical record to assure correct provisional and final DRG assignment.

  • Process improvement

    • Works in collaboration with HIM, Managers of Case Management and the Medical Director of Clinical Documentation Improvement/Utilization Management to analyze medical queries and the development of new physician queries.
    • Identifies opportunities for interdepartmental operational improvements.
    • Monitors, evaluates and reports concurrent coding outcomes at designated intervals to departments and committees.
    • Cultivates and maintains effective interaction/communication with members of the medical staff, nursing staff, social workers, UR Team and peers.

  • Regulatory

    • Maintains accurate records of review activities to comply with departmental and regulatory agency guidelines.
    • Tracks and trends program compliance.
    • Demonstrates knowledge of payer issues, documentation opportunities, clinical documentation requirements, and referral policies and procedures.

  • Provides excellent customer service

    • Provides excellent service routinely in interactions with all customers, i.e. coworkers, patients, visitors, physicians, volunteers, etc.
    • Responds to emails within 24 hours.

  • Performs miscellaneous job related duties as requested.

Company info

Phoenix Children's Hospital

Company Profile

Similar Jobs:
---\nBanner Health invests in our nurses by training them to confidently and safely deliver excellent patient care. Banner Health is committed to developing the careers of our team members. We care about you, your nursing career t...
Clinical Nurse Specialist/Education Spec Dignity Health • Phoenix AZ Job #631192232 Overview Located in the heart of Phoenix, Ariz., St. Joseph's Hospital and Medical Center is a 586-bed, not-for-profit hospital that provides a wi...
Job Details Level Experienced Job Location Adelante Healthcare West Phoenix - Phoenix, AZ Position Type Non-Exempt Education Level RN Job Category Nurse Description POSITION SUMMARY Assist all patients and their families through t...
By using Employment Crossing, I was able to find a job that I was qualified for and a place that I wanted to work at.
Madison Currin - Greenville, NC
  • All we do is research jobs.
  • Our team of researchers, programmers, and analysts find you jobs from over 1,000 career pages and other sources
  • Our members get more interviews and jobs than people who use "public job boards"
Shoot for the moon. Even if you miss it, you will land among the stars.
ClinicalResearchCrossing - #1 Job Aggregation and Private Job-Opening Research Service — The Most Quality Jobs Anywhere
ClinicalResearchCrossing is the first job consolidation service in the employment industry to seek to include every job that exists in the world.
Copyright © 2018 ClinicalResearchCrossing - All rights reserved. 21