Emory Healthcare
Provides clinically based concurrent and retrospective review of inpatient medical records to evaluate documentation of patient acuity and support acute care services. The role focuses on facilitating appropriate physician documentation to accurately reflect patient severity of illness and risk of mortality, while supporting quality reporting and compliant billing documentation.
Key Responsibilities
- • Provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation of patient acuity and to support acute care services that were delivered.
- • Facilitation of appropriate physician documentation of care delivery to accurately reflect patient severity of illness and risk of mortality.
- • Specific reviews are both determined internally and by requirements/requests of external payers or regulatory agencies.
- • Play a significant role in reporting quality of care outcomes and in obtaining accurate and compliant documentation for billing of services rendered.
Required
- • Graduate of an accredited school of Nursing, or United States or International School of Medicine Education.
- • For RNs, candidates must have an active license.
- • All nurses employed in roles requiring an unencumbered nursing license must have a valid, active license or temporary permit approved by the Georgia Licensing Board.
- • Education and experience may be considered in lieu of a RN license for highly qualified candidates (physician).
- • Three years' experience in healthcare related field with strong clinical expertise and acumen.
Preferred
- • Prefer recent clinical experience in an acute care setting.
- • Critical Care, Medical/Surgical or Emergency department nursing preferred; or 2 years' experience in a specialty area.
Benefits & Perks
- • Comprehensive health benefits that start day 1
- • Student Loan Repayment Assistance & Reimbursement Programs
- • Family-focused benefits
- • Wellness incentives
- • Ongoing mentorship and leadership programs
- • And more!
Be inspired. Be rewarded. Belong. At Emory Healthcare.
Benefits
At Emory Healthcare w e fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:
- Comprehensive health benefits that start day 1
- Student Loan Repayment Assistance & Reimbursement Programs
- Family-focused benefits
- Wellness incentives
- Ongoing mentorship and leadership programs
- And more!
Job Summary: Provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation of patient acuity and to support acute care services that were delivered. The goal of concurrent review includes facilitation of appropriate physician documentation of care delivery to accurately reflect patient severity of illness and risk of mortality. Specific reviews are both determined internally and by requirements/requests of external payers or regulatory agencies and play a significant role in reporting quality of care outcomes and in obtaining accurate and compliant documentation for billing of services rendered. Minimum Required Qualifications: Education: Graduate of an accredited school of Nursing, or United States or International School of Medicine Education. Licensure: For RNs, candidates must have an active license. All nurses employed in roles requiring an unencumbered nursing license must have a valid, active license or temporary permit approved by the Georgia Licensing Board. Education and experience may be considered in lieu of a RN license for highly qualified candidates (physician). Experience: Three years' experience in healthcare related field with strong clinical expertise and acumen. Prefer recent clinical experience in an acute care setting, (Critical Care, Medical/Surgical or Emergency department nursing preferred; or 2 years' experience in a specialty area).
PHYSICAL REQUIREMENTS: (Light 1-10 lbs): 0-33% of the work day (occasionally), negligible 34-66% of the workday (frequently), negligible 67-100% of the workday (constantly). Lifting 10 lbs max, carrying of small articles such as dockets, ledgers, files, small tools, occasional standing & walking, frequent sitting, close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.
ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste. chemicals/gases/fumes/vapors, communicable diseases, electrical shock , floor surfaces, hot/cold temperatures, indoor/outdoor conditions, latex, lighting patient care/handling injuries, radiation, shift work, travel may be required, use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.
Additional Details
Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.
Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org . Please note that one week's advance notice is preferred.
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