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Clinical Documentation Medical Professional
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- The CDMP will facilitate accurate DRG assignment and obtain appropriate documentation through extensive interaction with physicians, patient caregivers and health information management coding staff to ensure that reimbursement (reflecting proper quality of care and appropriate reimbursement) is received for the level of services rendered to the patients.
- Acts as a resource to the CDI department and health team members related to optimal documentation, educational needs, and successful problem resolution.
- Demonstrates familiarity with MS-DRG/APR-DRG’s and Inpatient Prospective Payment System (IPPS).
- Completes initial reviews of patient records to evaluate documentation to identify and assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate assignment of the working DRG, risk of mortality, and severity of illness.
- In conjunction with CDI leadership, tracks response to clinical documentation and trends in CDI metrics.
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