Medical writer

• Conduct concurrent reviews of inpatient medical records to identify opportunities to improve physician documentation
• Facilitate clinical documentation modifications through interaction with physicians and healthcare team members
• Support complete, accurate, and timely coding and correct DRG assignment
• Communicate with physicians, case managers, coders, and other healthcare team members regarding medical record documentation
• Use the designated clinical documentation system to identify documentation and hospital outcome opportunities
• Provide or coordinate education on compliance, coding, and clinical documentation issues
• Evaluate documentation by medical staff and healthcare teams
• Gather and analyze documentation findings and outcomes
• Develop physician education strategies to improve documentation completeness and accuracy
• Identify documentation patterns, trends, variances, and process improvement opportunities
• Research literature and monitor CMS rules and regulations
• Assist with developing and reporting performance measures and physician-specific data
• Confer with and coach physicians regarding documentation clarity, completeness, intensity of services, severity of illness, and DRG designation
• Attend hospital service line meetings and educate physicians on improvement opportunities
• Comply with HIPAA and Code of Conduct policies
• Assist with special projects and other assigned duties
• Promote safe, compassionate, personalized, and efficient experiences for patients and colleagues

Explore Clinical Documentation & Integrity Specialist at Memorial Hermann Health System. Review requirements and application details.