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Clinical Documentation Specialist ENSEMBLE
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Full-time
- Please note: this position is NOT a Day Kimball Hospital role and employment for this position is through ENSEMBLE
- The CDI Specialist facilitates and obtains appropriate physician documentation for any patient clinical condition or procedure to support the appropriate severity of illness, expected risk of mortality, and complexity of care as documented in patient medical records.
- Assigns Principal diagnosis, CC/MCC (complication and comorbidity/major complication and comorbidity), evaluate for Severity of Illness (SOI) and Risk of Mortality (ROM) on all patients while in-house.
- Partners with coding professionals to ensure accuracy of diagnostic and procedural data and completeness of supporting documentation to determine the working and final DRG assignment.
- Including supporting documented clinical evidence, Coding/CDE. Guidelines and other regulatory standards/guidelines as appropriate.
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