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Case Manager/CDI in Los Alamos, NM at Los Alamos Medical Center

Date Posted: 12/8/2018

Job Snapshot

Job Description

Los Alamos Medical Center

This position conducts daily reviews of inpatient medical records to identify missing, vague, and/or incomplete diagnoses and procedures.  Conducts timely follow-up reviews of clinical documentation to ensure that issues discussed and queries left in the medical record have been answered by the provider.  Utilizes coding and clinical expertise to identify opportunities and ensure the accuracy and completeness of clinical documentation used for measuring and reporting physician and hospital outcomes

Facilitates improvement in the overall quality, completeness, and accuracy of clinical documentation.  Through concurrent interaction with physicians, case managers, coders and other health care team members, the Clinical Documentation Specialist, will strive to ensure comprehensive medical record documentation that reflects the clinical treatment, decisions, and diagnosis for all inpatients.  Serving as a resource to all members of the health care team on documentation guidelines, this position will provide guidance and support, as well as assist with education and training related to improving clinical documentation.  

Job Requirements

Requires:  Associates degree, Bachelor's degree preferred.  RHIA, RHIT, preferred
Current NM RN licensure.  

CCDS or CDIP preferred.
Coders must have CS or CIC
Requires previous case mgt and CDI experience in hospital setting

Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran

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