Responsible for improving the overall quality and completeness of clinical documentation. Facilitates modifications for clinical documentation to support that the appropriate clinical severity and reimbursement is captured for the level of services rendered to all patients with DRG based payers. Supports timely, accurate, and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes.
Education: Graduate of an approved school of nursing. Certified Coding Certificate Or Education related to the DRG system and coding issues is preferred.
Experience: Clinical background that would facilitate assessment of patient care data for coordination of quality projects. Current knowledge of disease processes, treatment protocols, and documentation requirements. Strong written and verbal skills including the ability to communicate effectively with physicians, coders, and nurses. Must have working knowledge of diagnostic related groups (DRG's) and other reimbursement criteria. Computer knowledge in EXCEL and WORD are required or must be obtained within six months. Basic knowledge of data analysis. A background in utilization review and case management would be helpful.
Licensure: Registered Nurse license with the Florida Department of Health is required.