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Nurse Manager-Clinical Documentation CT. (Hybrid)
Job Description
- Assist with improving the patient medical record coding and ensure patient safety indicators are accurately reflecting patients course of severity which sets the admission criteria which needs accurate coding for insurance reimbursement during inpatient admissions.
- Oversee the clinical RNs (small team of 5) who perform administrative concurrent review of medical records for accuracy
- Work closely with team members to perform audits of their work and opportunities for education, as well as opportunities for Physician education.
- Work closely with the Coding and Quality teams on initiatives as assigned.
- Track query escalation process, CDS/Coder collaboration, etc.
- Lead weekly huddles or monthly meetings .
- Provide feedback and educational growth opportunities for staff members.
- Conduct regular reviews of CDI queries and provide coaching and feedback.
- Identify DRG mismatches and collaborate with Coding team on reconciling.
- Provide feedback to physician advisor(s) on provider engagement/response.
SKILLS and REQUIREMENTS
- Licensed Registered Nurse (RN) in the State of CONNECTICUT
- Inpatient /Hospital experience
- Advanced Concurrent Review background-or Case Management background
- Advanced EMR (EPIC) documentation background
- Advanced Clinical Coding, Revenue Cycle experience
- Coding and or Denials software such as 3M 360
- Understanding of how to avoid/reduce denials, delays and coder training time for a smoother patient billing process
- 5 Years Minimum Management background in Concurrent Review
- Assertive and courteous personality traits to facilitate ongoing physician communication.
- Working knowledge of inpatient admission criteria.
- CPT Coding DRG Coding Health Information Management (HIM) background
- Other Certifications (Preferred) RHIA - American Health Information Management Association (AHIMA) Or RHIT - Or CCS, or CCDS (Clinical Documentation Improvement Specialist)
Full time 40 Hours on site 2 days / 3 days remote (central CT. Location)
If you are an RN with Coding and Clinical Documentation Management experience You may reach out for a brief phone call to discuss this opportunity
Attn:
Krisha Morander, Clinical/Recruitment (Direct Hire /Permanent Placement
Krisham@Jmorrissey.com
INDI
Meet Your Recruiter
Krisha Morander, CPC
Vice President, Healthcare & Information Technology
Krisha's journey in the professional world has been nothing short of remarkable. Starting her career after completing her college education, she ventured into the realms of Commercial Art and Marketing, honing her creative and strategic skills. However, her path took a significant turn as she discovered her calling in the field of Recruitment.
Growing up in a close-knit, caring family where everyone played a vital role in supporting each other, including the care of elderly parents, Krisha's deep-rooted passion for healthcare began to flourish. She redirected her focus towards assisting job seekers in finding meaningful careers in healthcare that could make a genuine difference in the lives of others.
With an impressive 31-year career in the Staffing Industry, Krisha's expertise spans various domains. Initially, she dedicated herself to agency firm work, with a primary focus on healthcare and marketing communications. Her journey took a pivotal turn in 2004 when she joined J Morrissey. Here, she embraced Direct Hire Healthcare recruitment as her specialization.
In 2010, Krisha's entrepreneurial spirit led her to create the Information Technology division within the organization. Her dedication and exceptional performance in this role earned her the prestigious title of Vice President. She continues to pursue her passion for recruiting top-tier talent and nurturing new client relationships. Krisha also takes an active role in training and mentoring new staff, instilling in them the best practices and the art of meaningful interviewing.
Krisha's Direct Hire Recruitment Specialties encompass both Healthcare, spanning clinical and non-clinical roles, and Information Technology, from junior-level positions to the highest echelons of C-Suite leadership.
Outside of her illustrious career, Krisha finds solace and inspiration in the world of watercolor painting. Her creative spirit knows no bounds.
In her personal life, Krisha shares a blissful marriage of 36 years, a testament to her commitment and enduring love. Together with her loving partner, she is proud to be the parent of two wonderful children, completing her fulfilling life journey.