Clin Doc Integrity Spec II, Full-Time, Days

Conduct concurrent medical record reviews to address clarity, completeness, consistency, and accuracy of clinical documentation. Submit provider queries and reconcile discharged records to ensure accurate coding reflective of patient severity of illness, risk of mortality, and present on admission status. Collaborate with Coding and other departments to facilitate accurate code assignment while serving as a second-level reviewer, education resource, and preceptor for clinical documentation. Stay current with coding guideline changes and provide point-of-care education to providers regarding accurate capture of comorbid conditions and principal diagnoses. Develop supportive relationships with the healthcare team to ensure high-quality documentation and discharge planning.