XTN-B51F650 | CLINICAL SERVICE-CDI

Functional overview

This should explain, in summary, the general responsibilities and the key tasks of the role. This should also include their purpose, relationships with customers, co-workers, and others, and the results expected of incumbent employees.

Duties and responsibilities

• Facilitate improvement in overall quality, completeness, and accuracy of medical record documentation.
• Complete admission reviews and assign a working Diagnosis Related Group.
• Ensure the working DRG and other information are entered in the Clinical Documentation Improvement database.
• Initiate and maintain extensive interactions with physicians and mid-level providers to address the need for more detailed information in the medical record.
• Collaborate with healthcare professionals to ensure the severity of illness and level of services provided are accurately reflected in the medical record and to resolve physician queries and documentation issues prior to patient's discharge.
• Maintain accurate records of review activities, ensuring reports and outcomes of CDI efforts are valid.

Minimum competencies

Should list down skills, knowledge and/or behaviour. Can include areas of expertise.

Minimum qualifications

Indicate required educational background. Previous work experiences needed or preferred. Any technical skills required.