Prisma Health

Prisma Health

Clin Doc Integrity Spec II, Full-Time, Days

Columbia, SC · Mid · Full-time

Sponsorship not specifiedDetected 9 hours ago
ICD-10Communication

About the role

  • Reviews medical records to identify documentation opportunities to accurately represent the severity of illness, risk of mortality, length of stay, intensity of service, and hospital quality metrics.
  • Reviews medical records, submits provider queries, and reconciles discharged records.
  • Serves as second level reviewer, education resource, and preceptor.

Responsibilities

  • Serves as a resource for co-workers, providers, and other support departments (coding, case management, quality, nutrition, etc.)
  • Performs other duties as assigned.

Requirements

  • Required Certifications, Registrations, Licenses
  • Knowledge, Skills and Abilities
  • Bachelor's degree

Nice to have

  • Communication skills with the ability to interact with providers
  • Knowledge of IPPS, ICD10 Coding, MS-DRG/APR-DRG and HCPCS coding systems preferred

Benefits

  • Conducts concurrent medical record reviews of selected patient health records to address clarity, completeness, consistency, and accuracy of clinical documentation.
  • Develops and maintains supportive, collaborative relationships with providers and health care team members to include education and follow up.
  • Assigns a working DRG for health care team discharge planning and CDI use

This listing is sourced directly from Prisma Health's careers page and normalized into a canonical job model.