Cooper University Hospital

Medical writer

• Review inpatient medical records concurrently to ensure clear, consistent, concise, legible, and accurate documentation reflecting patient severity of illness and intensity of services
• Generate and utilize queries to clarify physician documentation when significant reportable conditions or procedures are conflicting, ambiguous, or incomplete
• Analyze clinical information to identify gaps in clinical documentation
• Utilize the physician advisor to clarify clinical presentation
• Collaborate with HIM Leadership, coders, Coding Quality Educators/Reviewers, and peers to improve final DRG accuracy
• Provide educational support to physicians, nurses, and ancillary staff to improve clinical documentation processes
• Facilitate documentation modifications through interaction with physicians, nursing staff, caregivers, and Health Information coding staff to support appropriate reimbursement and clinical severity capture
• Review cases denied for medical necessity by auditing agencies and assist the physician advisor with appeal support

Explore Clinical Documentation Improvement Specialist at Cooper University Hospital. Review requirements and application details.

Clinical Documentation Improvement Specialist

• Review inpatient medical records concurrently to ensure clear, consistent, concise, legible, and accurate documentation reflecting patients’ severity of illness and intensity of services
• Generate and utilize queries to clarify physician documentation when medical records contain conflicting, ambiguous, or incomplete information about significant reportable conditions or procedures
• Analyze clinical information to identify gaps in clinical documentation
• Utilize the physician advisor to clarify clinical presentation
• Collaborate with HIM Leadership, coders, Coding Quality Educators/Reviewers, and peers to improve final DRG accuracy
• Provide educational support to physicians, nurses, and ancillary staff to improve clinical documentation processes
• Facilitate documentation modifications through interaction with physicians, nursing staff, caregivers, and Health Information coding staff to capture appropriate reimbursement and clinical severity
• Review cases denied for medical necessity by auditing agencies and assist the physician advisor with appeals by collecting pertinent information

Compliance

• Demonstrate proficiency in working claim edits, denials and rejections to support revenue cycle goals with timely and accurate billing
• Collaborate with other departments to alert and resolve coding issues, CDM issues and other compliance issues affecting reimbursement
• Utilize ICD-10-CM and PCS, HCPCS including CPT, and other coding references to ensure accurate coding
• Address NCCI, OCE, LCD and other coding edits as applicable

Explore Coding Compliance Specialist at Cooper University Hospital. Review requirements and application details.

Open roles

Clinical Documentation Improvement Specialist

Clinical Documentation Improvement Specialist

Coding Compliance Specialist