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OP CDI RN

Overview

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The Outpatient Clinical Documentation Specialist Nurse (OPCDS -RN) working under the direction of the Supervisor, is an advisor to ambulatory clinicians regarding complete and accurate outpatient documentation, specificity surrounding Hierarchical Condition Categories (HCCs) through concurrent, prospective, and retrospective evaluation and assimilation of the objective and subjective data documented within the medical record. The outcome will be documentation that accurately and completely captures the clinical picture, severity of illness,  and complexity of the patient while providing specific and complete information to be utilized in coding, profiling, and, outcomes of the reporting for both the facility and the physicians. The OPCDS utilizes knowledge of official coding guidelines (ICD-10 and CPT), Hierarchical Condition Categories (HCC), and AHIMA/ACDIS physician query brief. The Specialist functions as an expert source for information regarding the impact of documentation on patient care, quality metrics, Hierarchical Condition Categories (HCCs), and correct reimbursement. The incumbent functions as a liaison between ambulatory clinicians and outpatient coders with the goal of creating mutual understanding of the many uses of medical record documentation.
Location: remote,
Type: Contract
Pay: Apply for details

1430

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