Atos SE (Societas Europaea) is a leader in digital services with pro forma annual revenue of circa 12 billion and circa 100,000 employees in 72 countries. Serving a global client base, the Group provides Consulting & Systems Integration services, Managed Services & BPO, Cloud operations, Big Data & Cyber-security solutions, as well as transactional services through Worldline, the European leader in the payments and transactional services industry. With its deep technology expertise and industry knowledge, the Group works with clients across different business sectors: Defense, Financial Services, Health, Manufacturing, Media, Utilities, Public sector, Retail, Telecommunications, and Transportation.
Atos is focused on business technology that powers progress and helps organizations to create their firm of the future. The Group is the Worldwide Information Technology Partner for the Olympic & Paralympic Games and is listed on the Euronext Paris market. Atos operates under the brands Atos, Atos Consulting, Atos Worldgrid, Bull, Canopy, Unify and Worldline.
JOB DESCRIPTION
***Must possess a comprehensive knowledge of acute care nursing experience, as normally obtained through a Bachelor of Science, Nursing (BSN) and at least five years of current acute hospital care experience (i.e. medical/surgical unit, intensive care).
The Clinical Documentation Specialist facilitates the accurate representation of the severity of illness/risk of mortality by improving the quality, completeness and accuracy of the physicians' clinical documentation through extensive medical record review and query process. Through active engagement and interaction with physicians and other members of the healthcare team, achieves appropriate clinical documentation to support the medical necessity and level of services rendered to all patients. Participates in the development and delivery of education for providers and other members of the healthcare team.
Comprehends, incorporates, and demonstrates Atos Digital Health Solution's Mission, Vision, and Values in behaviors, practices, and decisions.
- Demonstrates understanding of and facilitates appropriate clinical documentation, to ensure that the severity of illness, risk of mortality and level of services provided are accurately reflected in the health record. Assists in overall quality, timeliness and completeness of the quality health record to ensure appropriate data, provider communication, and quality outcomes. Serves as a resource for appropriate clinical documentation.
- Conducts concurrent medical record reviews of selected patient health records to address legibility, clarity, completeness, consistency, and precision of clinical documentation. Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and hospital pay for performance diagnosis specific quality outcomes.
- Communicates with and educates all members of the patient care team regarding clinical documentation needs, changes to clinical documentation guidelines, coding and reimbursement issues, and pay for performance documentation requirements on an on-going basis.
- Collaborates with coding staff to ensure complete documentation of discharge diagnoses/co-morbidities are a complete reflection of the patient's clinical status and care. Resolves all discrepancies in a courteous manner.
- Develops and presents on-going documentation education for staff including case managers, coders, physicians, residents, nursing and allied health professionals.
- Gathers and interprets clinical documentation data; Identifies documentation concerns, discrepancies, or issues. Determines methods to ensure compliance in accordance with clinical documentation policies and procedures.
- Utilizes interpersonal skills to discuss clinical documentation issues and work effectively with all levels of internal personnel such as coders, physicians, nursing and allied health professionals, and some external customers including third party payors to resolve issues.
- Understands and is able to articulate concepts to physicians and other health care professionals in an effort to educate clinical documentation requirements for both DRG reimbursement and pay for performance quality measures.
- Demonstrates expertise in problem-solving skills based on theoretical knowledge, clinical experience and sound judgment. Serves as a role model by demonstrating professional practice behaviors.
- Performs other duties as assigned by Leadership.
- Maintains a working knowledge of applicable Federal, State and local laws and regulations, accrediting agencies, Atos Digital Health Solution's Standards of Conduct, Code of Ethics, as well as, other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.
REQUIREMENTS
- Must possess a compreh... For full info follow application link.
Atos is an Equal Opportunity Employer: disability/veteran
