Overview Responsible for reviewing inpatient and/or outpatient medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient. Demonstrates a sufficient knowledge of clinical documentation, coding requirements, and DRG guidelines or CPT/E&M coding guidelines depending on role. Educates the patient care team regarding clinical documentation and coding best practices.
Qualifications Graduate from an accredited Nursing program with current RN license and two (2) years nursing experience OR
Graduate of a Health Information Management program with either RHIT/RHIT/CCS and two (2) years coding experience OR
Foreign medical graduate, MBBS/MD license, and two (2) years physician experience