Description
Overview
The Manager of Documentation Improvement reviews all Medicare inpatient medical records to ensure appropriate documentation of co-morbidities and complicating diagnoses. This individual works as a cooperative team player with HIM coding staff to ensure understanding of coding rules and methodologies that impact DRG assignment. Once variance from appropriate documentation is identified, the Manager makes certain that appropriate education and follow-up occurs with the appropriate provider or provider group to ensure compliance. The Manager Documentation Improvement coordinates work assignments and serves as a resource to Coordinated Care or other assigned staff as needed.
QUALIFICATIONS
EDUCATION REQUIRED
Graduate of accredited School of Registered Nurses
licensed by the state of Georgia,
EDUCATION PREFERRED
BSN or MSN
LICENSURES OR CERTIFICATIONS REQUIRED
Current license/registration to practice as a registered nurse or licensed practical nurse in the state of Georgia
HIM/Coding certification/ACDIS Certification
LICENSURES OR CERTIFICATIONS PREFERRED
None
EXPERIENCE REQUIRED
Minimum of five years hospital experience in the care of short term acute patients
Comprehensive understanding of reimbursement mechanisms
Communication with physicians
EXPERIENCE PREFERRED
Participation in chart review and medical record coding
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