This job has expired.
Location: Lakewood, WA
Description: Our client is currently seeking a Certified Registered Nurse for a Hybrid Clinical Documentation Specialist role in Tacoma, Washington
This job will have the following responsibilities:
- Review and verify component parts of medical record to ensure completeness of documentation requirement and accurate assignment of medical codes for diagnosis, operations, and special therapeutic procedures that must conform to the Official Guidelines for Coding and Reporting, and site-specific Coding Guidelines.
- Code primary diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, drugs, modifiers, and units of service etc. with ICD-10-CM, CPT, HCPCS, all Evaluation and Management (E/M) levels, and any other coding that may be required including local client policy.
- Identify the correct primary diagnosis, primary procedure, DRGs and POA indicators based on physician's medical record documentation and establish sequencing rules and applicable guidelines.
- Ensure proper sequencing of ICD-10-CM/PCS codes proper resource for inpatient records and CPT/HCPCS for surgery charts. Identify additional diagnoses/procedures (e.g., complications, co-morbidities, therapeutic procedures, and diagnostic procedures).
- Analyze and verify the reason for the encounter, including cause(s), primary diagnosis, primary procedure(s), performed and significant related conditions to assure record contents meet the CMS Physician Documentation Guidelines (95 and 97), Joint Commission, and other nationally recognized regulation requirements for the highest attainable quality.
Qualifications & Requirements:
- Registered Nurse (RN) or Physician Assistant (PA) Required
- License in WA state required
- Bachelors of Science in Nursing (BSN) required
- 0-2 Years of Coding experience
- Clinical Documentation Improvement Practitioner (CDIP) or Certified Clinical Documentation Specialist (CCDS) required
- Registered Health Information Administrator (RHIA) OR Registered Health Information Technician (RHIT) through AHIMA OR Certified Professional Coder (CPC) through AAPC required
If this is something you are interested in please reach out to Ricki at ehoffman@judge.com or call 720-463-3580 today
Contact: ehoffman@judge.com
This job and many more are available through The Judge Group. Find us on the web at www.judge.com
This job has expired.
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