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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.
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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.
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Certified Documentation Improvement Practitioner (CDIP), Within 2 years of hire. He/she works collaboratively with the coding and compliance departments to ensure appropriate final DRG assignments and CC/MCC capture.
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Ability to improve MS-DRG assignments specific to the documentation & coding of PDx, SecDx, CC/MCC, PPx, and SecPx in accordance with official coding laws, regulations, rules, guidelines, and conventions.
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Monitors performance as demonstrated through CMI, CC/MCC capture rate, physician response rate, RAC reviews, HCC's, coding accuracy rates and other financial and quality metrics. Responsibilities include Coding, Clinical Documentation Improvement (CDI), Physician Advisor Program, and other Coding/CDI specific activities within ECU Health and the facilities it supports.
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Specific to CTC/PWC and MCC: training and perform quality assurance duties by reviewing medical documentation utilizing audit tools as outlined by County of San Diego Quality Management.
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Reviews MCC and CC list to identify opportunities for queries or documentation improvement. Queries: Queries the appropriate discipline for additional or clarifying documentation to ensure the accuracy and completeness of coding and abstracting.
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Record modifications in order to maintain accuracy and content of the electrical system key documentation (one-line diagrams, MCC data sheets, electrical room’s layouts, grounding system, lighting plans, electrical equipment location plan, etc.
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Uses guidelines to evaluate patient status based on length of stay, level of care requirements and Medicare regulations, and Major Complications or Comorbidities (MCC) / Complications or Comorbidities.
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Experience and knowledge in Power Distribution for Medium Voltage and Low Voltage (Switchgear, MCC, PDP, Transformers, VFD. etc), equipment specifications, wiring diagrams, one-lines, motor elementaries, power studies, arc flash calc, hazardous area classification, etc.
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Provide Flight Controller operational and engineering support from the Flight Control Room (FCR) and Multi-Purpose Support Room (MPSR) in MCC as it pertains to Medical Operations. Draft/update con ops, requirements, flight rules, activity planning documentation, and technical reference documentation as necessary, including for prebreathe and lunar surface extravehicular activity (EVA) operations.
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Solid understanding of common electrical systems drawings and documentation, such as electrical plans and elevations, conduit and cable schedules, one-line diagrams, MCC and switchgear layouts and details, electrical panel schedules, wiring and motor-control diagrams, schematics, P&IDs, lighting plans, specification sheets, and motor lists.
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Green Plains is an innovative producer of Ultra-High Protein and novel ingredients for animal and aquaculture diets to help satisfy a growing global appetite for sustainable protein. Technical support for cogeneration project development, construction, and commissioning.
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Successful completion of a coding certificate program, with American Health Information Management Association (AHIMA) approval status, as RHIA, RHIT, CCS or CCA is required. Checks Methodist's internal e-mail when logging on for work, at mid-day, and before logging off.
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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. Educates key healthcare providers such as physicians, nurse practitioners, allied health professionals, nursing and care coordination regarding clinical documentation improvement, documentation guidelines and the need for accurate and complete documentation in the health record.
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