Clinical Documentation Specialist
Saint Luke's Hospital
Kansas City, Kansas
07.2024 - Current
- Reviewed clinical documentation for accuracy and completeness.
- Determined quality of care provided to patients through careful assessment of medical documentation.
- Identified areas of risk related to incomplete or inaccurate documentation practices.
- Maintained current knowledge of ICD-10 coding requirements, CPT and HCPCS coding systems, DRG assignment criteria and CMS regulations.
- Acquired strong background in medical terms, illnesses and conditions and medical procedures.
- Reviewed medical records to ensure accuracy and completeness of clinical documentation.
- Uncovered discrepancies in health records and contacted physicians to provide further documentation to clarify concerns.