Documentation Coordinator Resume Profile, NJ - Hire IT People

WORK HISTORY

Confidnetial

Remote RN Coder: RAC auditor for CMS medical necessity review, DRG audits, Clinical Validation audits, CMS LCD Edits writer, policy/procedure edits, research, other duties as assigned.

Confidnetial

Clinical Documentation Coordinator: Concurrent chart review of Medicare inpatient admissions for severity of illness and adherence to CMS guidelines DRG assignment, ICD 9, MD education, implementation EMR, new hire trainer, policies/procedures development, and quality management.

Confidnetial

Clinical Documentation Coordinator : Concurrent chart review of Medicare inpatient admission for missed physician documentation opportunities to capture severity of illness, DRG assignment, ICD 9, Physician education, audits, reports, presentations, staff education.

Confidnetial

Clinical Care Coordinator : Inpatient concurrent Case management, InterQual, ICD 9 codes, patient education, discharge planning, utilization review.

Confidnetial

Medical Auditor-RN: Retro-audits for both inpatient/outpatient accounts per CMS / OIG guidelines. Provided JHS staff training per OIG Corporate Integrity Agreement, and Compliance Liaison.

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Clinical Documentation Specialist-RN 2: Concurrent EMR review of all inpatient Medicare admission for accuracy in documentation to reflect complete severity of illness and MD education.

Confidnetial

Clinical Documentation Specialist RN: Concurrent inpatient chart review of pediatric Medicare population.

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High Risk OB Case Manager-RN: Telephonic concurrent chart review of hospital and physician based services for authorization according to Managed care guidelines/tools InterQual, Amysis, MS Works , and patient education.

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Clinical Skills Observer-RN: Administered clinical skills exams to students for certification as a nursing assistant, proctor written and clinical exams.

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Senior Community Health Nurse: Division of School Health-Immunizations, record reviews/audits, staff training, community outreach, school nurse.

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Documentation Coordinator Resume Profile

NJ

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