Medical writer

• Perform prospective, retrospective, and concurrent coding reviews based on evaluations of prior visit documentation, lab results, images, external medical records, payer claims data, and more
• Demonstrate an understanding of complications, comorbidities, case mix and the impact of procedures on the billed record as well as the ability to impart this knowledge to providers and other members of the healthcare team.
• Support pre-visit planning by communicating to firsthand providers individuals’ potential chronic conditions and care gaps with robust and appropriate evidence
• Ensure accurate, timely, and comprehensive clinical documentation to support code capture, including querying providers when these clinical documentation standards are not met
• Support medical records requests when providers require additional information prior to addressing and diagnosing potential conditions
• Work with team leadership to identify chronic condition prevalence trends by individuals’ demographics; identify and execute potential interventions, e.g., ongoing education to firsthand providers and the CDI team, ongoing quarterly retrospective reviews of unaddressed suspects

Part Time – Clinical Documentation Integrity Specialist, CDIS

Principal Medical Writer

Clinical Documentation Specialist

RN Clinical Documentation Specialist

Clinical Documentation Specialist

Registered Nurse, Clinical Documentation Specialist – CDIP, CCDS Required