Job Description

Job Type: Contract-40hrs/week

Duration : 3 months to start and then extend or convert to FTE based on performance/budget

Location: Onsite-San Francisco, CA

Benefits: Medical, Dental, Vision, Life Insurance

As a Clinical Documentation/Utilization Review Specialist, you'll leverage your strong clinical experience and deep knowledge to ensure precise and comprehensive clinical documentation in medical records, accurately reflecting patients' clinical conditions. Your role will involve:

• Collaborating with a multidisciplinary team: Work closely with physicians, allied health professionals, health information management experts, and nursing staff to ensure high-quality documentation.
• Optimizing patient care: Utilize a concurrent review process to enhance the severity of illness and overall quality in the medical record.
• Ensuring regulatory compliance: Apply MS-DRG classification following Centers for Medicare and Medicaid Services (CMS) regulations and other pertinent coding and compliance standards.
• Prioritizing case reviews: Focus on prioritized cases and review records for documentation accuracy related to APR-DRG classification and Quality Data elements (e.g., Patient Safety Indicators, Readmissions).

What We Offer:

• A collaborative environment: Be part of a supportive team dedicated to clinical excellence.
• Continuous learning: Stay up to date with the latest in clinical documentation and compliance.
• Impactful work: Make a difference in patient care and outcomes.

Join Us: If you're a dedicated professional with a passion for clinical documentation and a commitment to excellence, we want to hear from you. Apply today and take your career to the next level!

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