Ensures capture of discharge diagnosis and procedures independently, documents the patient's clinical status and care provided, and performs concurrent review of patient records for documentation to support assignment of clinical codes
Job Summary
Ensures capture of discharge diagnosis and procedures independently, documents the patient's clinical status and care provided, and performs concurrent review of patient records for documentation to support assignment of clinical codes.
Works with coding staff to ensure documentation of discharge diagnoses, including any coexisting co-morbidities, and procedures are complete.
Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated.
Matching Summary
Ensures capture of discharge diagnosis and procedures independently, documents the patient's clinical status and care provided, and performs concurrent review of patient records for documentation to support assignment of clinical codes.
Skills & Requirements
Must-have
Assess patient records for accuracy
Communicate with providers on documentation
Collaborate with case managers and nursing staff
Monitor provider documentation queries
Nice-to-have
Advance health and wellness
Foster an environment where everyone thrives
Seek and celebrate uniqueness
Achieve the remarkable
Key Requirements
Registered Nurse (RN) required
CCDS or CDIP certification preferred
3 years of relevant work experience
Graduate of an approved discipline specific program