Completes initial reviews of patient records to: Evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate DRG assignment.
To review the insurance reconciliation audit reports.
Educate and requesting physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the heath record.
Collaborates with discharge planner, nursing staff, and other ancillary staff regarding interaction with physicians on documentation to resolve physician queries prior to patient discharge.
Educate member of the patient care team regarding specific documentation needs and reporting and reimbursement issues identified through daily and retrospective documentation review.
Promote improved quality of care.
Promote cost effective medical outcomes by reducing hospital stay.
Assure appropriate level of care is received by patients.
To be familiar and work in accordance with the latest MID procedures and processes and challenging any data non-compliance issues.
Assist the MIS Manager with retrieval and validation of data for audit, statistical or management purpose.
To provide regular feedback in the relation to the progress of tasks completed, those outstanding and progress towards departmental priorities, targets and deadlines.
To work as part of team and provide support when required.
To ensure the security of data and conformity with data protection act.
Continually update departmental procedures and document any new initiatives.
To support and assist with other MIS function when required.
