Medical writer

• Support and review inpatient medical records to improve the quality, completeness, clinical severity, and accuracy of clinical documentation for DRG-based or APR-based payor populations
• Review inpatient medical records within 24–48 hours of admission for accuracy, completeness, compliance, and documentation opportunities
• Collaborate with physicians and healthcare providers to promote documentation improvement
• Formulate basic compliant verbal or written queries to clarify conflicting, ambiguous, or nonspecific documentation
• Identify and evaluate clinical indicators supporting accurate patient diagnoses
• Apply current and emerging techniques to improve patient-care documentation and record accuracy
• Escalate issues to Senior Clinical Documentation Specialists, providers, or administrators when appropriate
• Collaborate with senior CDS staff on complex cases and educational needs
• Maintain understanding of risk management and quality indicators, including PSIs, HACs, and PPCs

Explore Clinical Documentation Specialist – Part Time at UMMC Police. Review requirements and application details.