Medical writer

• Conduct concurrent and retrospective reviews of medical record documentation for accuracy, completeness, patient condition, and services performed
• Support accurate ICD-10-CM/PCS coding, DRG assignment, severity of illness, risk of mortality, reimbursement, risk adjustment, and quality reporting
• Collaborate with coding, physicians, physician advisors, quality teams, utilization management, revenue cycle, and clinical teams
• Deliver documentation education to providers, including risk stratification, chronic conditions, and billing-supporting documentation
• Develop templates, smart phrases, and other documentation tools with clinical teams
• Monitor and improve patient chart documentation in inpatient and outpatient settings
• Review inpatient records within 2 days of admission and identify documentation opportunities and problem-list inaccuracies
• Attend multidisciplinary patient rounds
• Communicate documentation opportunities and ICD-10 specificity through verbal or written queries; track queries and response rates in Epic
• Design and implement EHR documentation tools and educational programs with the physician champion
• Arrange education for new providers after onboarding
• Identify documentation trends and improvement opportunities and report them to attending groups
• Maintain expert knowledge of EHR clarification, presentation, and tracking tools and current ICD-10 requirements
• Understand APR-DRG and MS-DRG methodologies
• Review denials and identify root causes
• Identify strategies for sustained process changes supporting complete and accurate clinical documentation
• Maintain communication with hospital and professional billing coding staff, coding integrity, physician champion, and division leaders

Medical writer jobs in Florida

Clinical Documentation Specialist