• Completes patient medical record reviews to support compliance audits, organizational risk assessments, and ongoing monitoring activities. • Responsible for reviewing and determining that supporting documentation demonstrates performance of medically necessary services. • Supports random and focused pre-payment and post payment audits in the review of patient medical records. • Completes medical record reviews in a timely manner. • Assists to ensure all possible efforts are made to obtain appropriate internal and external patient medical record documentation to support the services provided and billed. • Supports the tracking of medical documentation received, outbound requests, and ensures all necessary information is obtained (where they exist). • Follows related policies and procedures and escalates where appropriate. • Assists in medical review related customer chart documentation trend analysis for outreach training and education opportunities. • Ensures all reasonable efforts are made to obtain appropriate external medical record documentation to support the services in question. • Ensures medical record documentation received is recorded appropriately and aids in the management of outbound documentation requests. • Assists Senior Clinical Specialist with other areas of responsibility as requested.

• Facilitate improvement in the overall quality, completeness, and accuracy of medical record documentation • Educate and train of the Clinical Documentation Integrity team through extensive audit investigation, clinical criteria research, and data analysis • Develop and deliver a formalized CDI orientation process • Draft and submit written queries to providers to clarify documentation • Collaborate with Coding, HIM, Patient Safety and Quality, Enterprise Compliance Services, and Revenue Integrity • Perform complex clinical documentation of designated patient records to assess accuracy • Develop and perform an internal auditing process in partnership with the CDI Manager to validate query compliance • Educate providers, coder, and CDI team regarding clinical documentation concepts, health data, quality outcomes, and compliance regulations.

• This position is responsible for concurrent review of inpatient medical records to identify opportunities for improving the quality of physician documentation. • This position facilitates modifications to clinical documentation through concurrent interaction with physicians (face-to-face and electronically) and other members of the health care team. • The goal of this position is to achieve a complete medical record in order to support complete, accurate and timely coding. • Communicates with physicians, case managers, coders, and other healthcare team members to facilitate comprehensive medical record documentation to reflect clinical treatment, decisions, and diagnoses for inpatients. • Utilizes the hospital’s designated clinical documentation system to identify opportunities for physician and hospital outcomes. • Provides or coordinates education to all internal customers related to compliance, coding, and clinical documentation issues and acts as a consultant to coders when additional information or documentation is needed to assign the correct DRG. • Responsible for the day-to-day evaluation of documentation by the medical staff and healthcare team in accordance with the hospital’s designated clinical documentation system. • Gathers and analyzes information pertinent to documentation findings and outcomes. • Contributes to a positive working environment and performs other duties as assigned or directed to enhance the overall efforts of the organization. • Develops physician education strategies to promote complete and accurate clinical documentation and correct negative trends. • Identifies patterns, trends variances and opportunities to improve documentation review and process. • Researches literature and stays abreast of CMS rules and regulations, incorporating changes to daily practice for overall documentation enhancement. • Assists in the development and reporting of performance measures to the medical staff and other departments and prepares physician specific data information. • Conferences with key physicians to review outcome information (including physician profile data if relevant) as it relates to documentation clarity, completeness, and correct DRG designation. • Coaches physicians to improve their documentation so it more accurately reflects intensity of services and severity of illness. • Documents conference and results. • Attends various hospital service line meetings, reviewing outcome information, and educating physicians on service line specific improvement opportunities. • Complies with HIPAA and Code of Conduct policies. • Assists with special projects as needed. • Demonstrates competency for individual performance and development in the following areas: Customer Service, Job Skills, Resource Management, Teamwork, and Innovation. Directors shall determine percentage weight distribution for each competency category. • Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service. • Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff. • Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences.

Role Description - Write new publications and materials focused on patient safety and risk management for current policyholders, potential prospects, and the general public. - Provide actionable information on prevalent and emerging risk management issues in various healthcare settings. - Perform comprehensive research on risk management and patient safety topics to identify credible sources, develop a thorough understanding of issues, and craft high-quality materials under the MedPro brand. - Support Risk Solutions’ educational programming, including substantive editing, copyediting, content recommendations, and formatting/layout review of webinars, interactive programs, and text-based materials. - Provide editorial support for tools and materials developed by Risk Solutions’ consultants and leadership, including facilitating materials through the production process. - Help generate and review routine internal and external communications related to Risk Solutions’ publications, resources, and services. - Support Risk Solutions social media posting, including generating posts, managing posts within social media client, and setting up campaigns. - Help manage and track content on medpro.com in support of digital strategy, including working within a content management system and providing final quality control and sign off. - Help support the editorial schedule and calendar for updating, reviewing, and maintaining existing content based on a quarterly cycle. - Attend routine remote meetings with internal stakeholders to discuss priorities and emerging issues as well as provide publications updates. - Support implementation and enhancement of information systems and platforms. - Participate in departmental standardization and quality improvement efforts. Qualifications - Bachelor’s degree in Professional Writing, English, Journalism, or Communications. - 7-10 years professional writing and editing experience in a medical or healthcare role. - Ability to fact check content and research topics using reputable and credible sources. - Proven success writing and editing content for different platforms and audiences. - Experience developing short- and long-form content from initial draft through final production. - Experience performing quality control on digital and print materials. - Self-motivation and ability to work independently, manage multiple projects, and meet deadlines. - Ability to adhere to style guides, branding guides, workflow processes, and standard operating procedures. - Proficiency in Microsoft Word and PowerPoint; working knowledge of Microsoft Excel and SharePoint; familiarity with digital content management tools. - Proficiency using templates and creating and applying styles in Microsoft Word documents. - Familiarity with layout and design principles and best practices. - Strong organizational and interpersonal skills, with the ability to collaborate effectively with team members and subject matter experts. - Strong critical thinking and problem-solving skills; capable of addressing unforeseen issues and pivoting on priorities. Benefits - Medical, vision, and dental insurance options. - Life and accident insurance. - 401(k). - Short-term and long-term disability insurance. Company Description MedPro Group’s mission is built on a century-old legacy of protecting those who protect others. From our roots in our hometown of Fort Wayne, Indiana, we've worked diligently to become the nation's premier healthcare liability coverage provider, currently insuring more than 300,000 customers. With that growth, we've built a significant presence in all 50 states. Our team works across the country to provide the best strategies to mitigate risk and preserve the reputations of those who have entrusted their good name to us. That passion – built on a foundation of a culture that values uncompromised integrity, obsessive client focus, great teamwork, and a long-term mindset – makes MedPro a preferred employer that many call their career home.