Role OverviewThe Retrospective Clinical Documentation Pre-Bill Specialist is responsible for conducting clinical based retrospective reviews of inpatient medical records to evaluate and ensure the clinical documentation is reflective of quality-of-care outcomes and reimbursement compliance.
What You Will Do
The specialist will perform post-discharge reviews of inpatient medical records to identify documentation deficiencies, evaluate documentation for mortalities, and issue compliant retrospective queries to clarify diagnoses.
Why It Might Be a Fit
The ideal candidate will have knowledge of Microsoft Office applications, effective oral and written communication skills, and the ability to recognize colors associated with a color-coded filing system.
Requirements
- RN or MBBS
- Minimum of 3+ years CDI or inpatient coding experience in an acute care setting
- ICD-IO-CMS/PCS proficiency
- Certified Coding Specialist (CCS) or Certified Documentation Improvement Practitioner (CDIP) or Certified Clinical Documentation Specialist (CCDS)
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