Clinical Documentation Specialist - (Westwood, CA)

Clinical Documentation Specialist Job summary:Job Duties Completes review of medical record for identified patients in the required timeframe. Communicates with physicians face to face or via clinical documentation inquiry forms to clarify info, obtain needed documentation and educate for appropriate clinical documentation that will accurately reflect patient severity of illness and risk of mortality. Follows up with appropriate health teammates to ensure accurate and complete documentation in the medical record. Demonstrates an understanding of complications, HACs, PSI, co-morbidities, severity of illness, risk of mortality, case mix, secondary diagnosis, and impact of procedures on DRG; and is able to share this knowledge to physicians and other health team player. Confers with physicians, nursing, case management and other clinical caregivers to explain the importance of clear and concise documentation.