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Job functions reflect the following objectives:
- Ability to learn/develop the skills necessary to perform CDMP®
- Accurate and timely record review
- Recognize opportunities for documentation improvement
- Formulate clinically credible documentation clarifications
- Effective and appropriate communication with physicians
- Timely follow up on all cases especially those with clinical documentation clarifications
- Participate in Task Force Meetings
- Manage multiple priorities
- Communicates with HIM staff and resolves discrepancies
- Accurate input of data into CDMP Trak®
IV. Skills Required:
- Organizational, analytical, writing and interpersonal skills
- Dependable, self directed and pleasant
- Critical thinking, problem solving and deductive reasoning skills
- Recent hospital Experience preferably ICU, CCU, or strong Med/Surg.
- Knowledge of Pathophysiology and Disease Process
- Basic Computer skills – familiarity with Windows based software programs
- Knowledge of Medicare Part A
- Familiar with Medicare Part B
- Knowledge of regulatory environment
- Understand and support CDMP® documentation strategies
- Understand and communicate differences between Medicare Part A and Part B guidelines and how they impact DRG assignments
- Education/Licensure/Certification:
- Graduation from a program of nursing, BSN, preferred.
- Current state Registered Nurse license
