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About the role
Key responsibilities & impact- Act as a liaison between clinical and coding functions
- Educate physicians, medical staff, and clinical professionals on documentation and Revenue Management processes
- Interact daily with physicians and clinical professionals regarding documentation clarification and optimization
- Analyze clinical information and documentation to support the System Case Mix Index
- Review inpatient medical records within 24–48 hours of admission
- Assign principal and secondary diagnoses, procedures, working DRG assignment, severity of illness, and risk of mortality
- Conduct subsequent record reviews every three days through discharge
- Formulate queries for missing, conflicting, or unclear documentation
- Provide ongoing education on clinical documentation improvement and accurate patient records
- Collaborate with nursing staff, nutrition, pharmacists, physicians, and inpatient coding professionals
- Meet established productivity targets for record review
- Identify strategies for sustained work process changes
- Analyze and trend statistical data and identify improvement opportunities
- Promote accurate principal diagnosis, procedures, supporting documentation, working and final DRG, severity of illness, and risk of mortality
- Serve as a resource for interdisciplinary collaboration and coordination of patient care
Requirements
What you’ll need- At least three (3) years of RN work experience
- Graduate from Specialty Training Program-Nursing (Required)
- Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania
- BSN/Bachelor's Degree-Nursing strongly preferred
- Understanding of Anatomy and Physiology
- Knowledge of clinical documentation, medical records, diagnoses, procedures, treatment modalities, and DRG assignment
- Communication, Medical Records Systems, and Multitasking skills
- Ability to work days and 40 scheduled hours weekly
Benefits
Comp & perks- Health, dental, and vision insurance
- Three medical plan choices, including expanded network options
- Pre-tax savings plans (FSA & HSA)
- Company-paid life, short-term, and long-term disability insurance
- 401(k) with automatic Geisinger contributions
- Generous PTO that accrues quickly
- Up to $5,000 in tuition reimbursement per calendar year
- MyHealth Rewards wellness program with financial incentives
- Adoption/fertility assistance
- Parental leave
- Military leave
- Care.com membership
- Employee Assistance Program (EAP), including mental health, legal guidance, childcare/eldercare referrals, and more
- Voluntary benefits including accident, critical illness, hospital indemnity, identity theft protection, and pet insurance
- Healthcare benefits for full-time and part-time positions from day one
- Domestic partner benefits
- Professional growth and quality improvement opportunities
- Full-time schedule of 40 hours weekly