Loyola Hiring for CLINICAL DOCUMENTATION SPEC . Full Time – 00390570 at Elmhurst, Illinois Full Time

This job was posted by https://illinoisjoblink.illinois.gov : For more information, please see: https://illinoisjoblink.illinois.gov/jobs/10356322 Employment Type:

Full timeShift:

Day Shift

Description:

Full Time – 8a-5p

REMOTE

Position Summary:

Performs utilization review and certifies patient stays by analyzing patient medical records and accompanying physician documentation. Performs concurrent review for proper patient classification and ongoing need for hospitalization, using appropriate criteria.

MINIMUM QUALIFICATIONS

• Must possess an Associate/Diploma Degree in Nursing, or Health Information Technology (HIT) OR and Advanced degree in nursing or medical field such as NP/APN or PA.

• Must possess one of the below:

o Current Registered Nurse License in the State of practice,

o Registered Health Information Administrator (RHIA),

o Registered Health Information Technician (RHIT),

o Certified Coding Specialist (CCS) required,

o licensure as a physician assistant (PA) or Nurse Practitioner/Advanced Practice Nurse (NP/APN) or completion of medical school.

o Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Professional (CDIP) preferred.

• Two (2) years experience in Critical Care, Medical or Surgical Inpatient Care Nursing, as an RN, physician assistant (PA), nurse practitioner/advanced practice nurse (NP/APN), medical school graduate or as an inpatient coder preferred.

Position Responsibilities:

Using knowledge of medical necessity and appropriateness of setting as gained through a thorough understanding of milliman and interqual criteria, conducts concurrent utilization review. Interacts with insurers, third party payors, and review entities such as EQ Health for Medicaid to relay clinical information and to certify inpatient care for payment. Records all interactions in department databases and software such as Allscripts.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.