Clinical Documentation Improvement Specialist

Responsibilities:

• Daily record review for inpatient admissions to ensure the medical record accurately reflects the severity of illness and intensity of service, resulting in the appropriate MS-DRG assignment
• Extensively collaborates with physicians, medical records coding staff, hospital administration, and other patient caregivers to improve accuracy and completeness of acute inpatient documentation.
• Completes education for all members of the patient care team on clinical documentation opportunities, hospital coding and/or reimbursement issues, as well as performance improvement methodologies.
• Conduct record reconciliation with hospital coding staff to assign a working DRG.
• Maintains thorough and current knowledge of clinical care and treatment of assigned patient populations to critically assess appropriateness of documentation.

Education:

• ADN
• BSN

Hobbies/Special Interests:

• Gardening
• My dogs
• Vintage car shows ( 1968 Dodge Charger , 2016 Dodge Challenger )
• Traveling
• Reading

When asked “What inspires you?”

“Family is the most important thing in the world! Being in a rewarding career and working with such wonderful team members, to achieve our goals! I love to be able to travel now , and hope to increase the frequency of travel in the future!”