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Clinical Doc Improv Spec III
JOB SUMMARYPerforms patient record reviews to determine complete, accurate and timely documentation of all conditions that support hospitalization and treatment of the patient. Present queries to physicians when needed to clarify ambiguous or incomplete documentation. Must have knowledge of ICD-10, Complications/Comorbid Conditions and their role in the final Diagnosis Related Group, Severity of Illness, and Risk of Mortality.ESSENTIAL FUNCTIONS OF THE ROLEFacilitates accurate, timely, and complete documentation of medical conditions and treatment in patient records.Performs review of record to determine complete, accurate documentation of patient condition and treatment. When appropriate, update working DRG.
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