• Educates all internal customers, including physicians, nurses and other ancillary personnel, on clinical documentation opportunities, coding and reimbursement issues, as well as performance improvement methodologies • Creates job aids and queries in support of training initiatives • Ensures the accuracy and completeness of clinical documentation used for measuring and reporting physician and hospital outcomes as well as appropriateness of treatment setting • Conducts follow-up reviews of clinical documentation to ensure points of clarification have been recorded in the patient's chart • Reviews clinical issues with coding staff, nurses and other healthcare professionals as appropriate to ensure appropriate inpatient technical diagnosis and procedural coding • Discusses cases with physicians/provides, including periodic meetings, rounding and/or attending medical staff meetings • Inputs activities from concurrent reviews into CDI solution and ensures consistency of data captured • Serves as a member of the facility CDI Team and Documentation Improvement Work Group, providing input relative to documentation improvement processes and resources, and updates corporate HIM on facility coding/documentation improvement efforts • Performs other relevant duties as assigned

Role Description This position provides inpatient facility coding and Clinical Documentation Improvement (CDI) support in the Health Information Management department with minimal educational intervention required. The incumbent must abide by hospital, state and federal coding guidelines established by DNV, the American Hospital Coding Association, and Medicare/Medicaid, etc. Responsibilities - Perform thorough review of medical record for identification of relevant clinical diagnoses and procedures performed. - Assign appropriate ICD-CM principal diagnosis code. - Assign appropriate ICD-CM secondary diagnosis codes. - Assign appropriate ICD-10 PCS code(s). - Sequence principal and secondary diagnoses codes and primary procedure code for accurate MS-DRG and APR-DRG assignment. - Assign Present on Admission (POA) indicator for each diagnosis code. - Abstract required data elements, including but not limited to: Admit Type, Admit Source / Point of Origin, and Discharge Disposition. - Identification of opportunities where additional provider documentation is required to thoroughly and accurately assign ICD-10 code. - Understand and adhere to compliant provider query practices and procedures. - Understand and adhere to Health Information Coding policies and Official Coding Guidelines, as published by CMS and Cooperating Parties. Knowledge / Skills / Abilities - Proficient knowledge of medical terminology, anatomy & physiology and pathophysiology. - Proficient knowledge of coding conventions & use of coding nomenclature. - Proficient in all service lines of varying complexity. - Working knowledge of health care quality related initiatives. - Achieve and sustain acceptable productivity rate as defined by Coding Leadership. - Ability to effectively communicate with clinical staff and other hospital department personnel. - Knowledge of healthcare IT systems, preferably Epic and 3M 360 Encompass R2. - Knowledge of Microsoft Office. - Team player, ability to collaborate with colleagues and leadership. - Ability to effectively mentor entry-level staff. Qualifications - Minimum of four (4) years of experience coding inpatient facility (HB). - Current CCS Certification with the American Health Information Management Association (AHIMA). - Current RHIT Certification with the American Health Information Management Association (AHIMA). - Current RHIA Certification with the American Health Information Management Association (AHIMA). - Additional license requirements as determined by the hiring department. Qualifications (Preferred) - Experience at Level 1 Trauma facility coding inpatient HB. - Bachelor's or Associate's degree in a related field. Working Conditions and Physical Demands Employee must be able to meet the following requirements with or without an accommodation. This is a sedentary position in an office setting that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions. Physical Requirements - Listening - Sitting - Speaking

Role Description The primary responsibilities of the RN UR Specialist include performing activities related to insurance company notifications, obtaining certifications and authorizations related to Utilization review duties in Care Management. Timely communication of clinical information and updates will be provided to the insurance companies as requested or required by contract or federal and state regulations in support of medical necessity justification and hospital billing and payment for patient care and services rendered. - Liaison with third party payers regarding UR requirements, authorization or denial matters. - Assist with complex authorization needs impacting patient transition planning. - Proactive communication with Care Manager and Social Work staff to foster coordination and a team approach for key care management functions and meeting patient needs. - Notify Care Managers of potential denials and communicate with patient physician and payer medical director for peer to peer discussions. Qualifications - 2 year / Associate Degree in Nursing (Required) - 4 year / Bachelor's Degree in Nursing (Preferred) - 4 - 5 years Recent and relevant acute clinical care experience (Required) - 1 - 2 years Utilization review experience in a hospital, managed care or physician office practice setting (Required) - Registered Nurse (RN) with current Georgia license (Required) - CCM or CPUR (Preferred) Requirements - Adheres to the hospital and departmental attendance and punctuality guidelines. - Performs all job responsibilities in alignment with the core values, mission and vision of the organization. - Performs other duties as required and completes all job functions as per departmental policies and procedures. - Maintains current knowledge in present areas of responsibility (i.e., self-education, attends ongoing educational programs). - Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time. - Demonstrates competency at all levels in providing care to all patients based on age, sex, weight, and demonstrated needs. - For non-clinical areas, has attended training and demonstrates usage of age-specific customer service skills. Benefits - General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels. - May be exposed to high noise levels and bright lights. - May be exposed to limited hazardous substances or body fluids, or infectious organisms. - May be required to change from one task to another of different nature without loss of efficiency or composure. - Periods of high stress and fluctuating workloads may occur. - May be scheduled as needed including overtime. Physical Requirements - Have near normal vision - Clarity of vision (both near and far), ability to distinguish colors. - Have good manual dexterity and eye-hand-foot coordination. Physical Demands - Standing - Frequently within shift (34-66%) - Walking - Frequently within shift (34-66%) - Sitting - Frequently within shift (34-66%) - Climbing - Occasionally within shift (1-33%) - Bending/Stooping - Frequently within shift (34-66%) - Twist at waist - Frequently within shift (34-66%) - Pushing/Pulling - Frequently within shift (34-66%) - Lift/carry up to 20 lbs - Frequently within shift (34-66%) - Lift/carry > 20 lbs with assistance - Occasionally within shift (1-33%) - Reaching above shoulder - Frequently within shift (34-66%)

Role Description The RN Remote, WMG is a member of an interdisciplinary team of licensed and unlicensed caregivers who ensure that patients, families, and significant others receive individualized, high quality, safe, and timely patient care. This position is fully remote, practicing in a non-traditional clinical setting where patient care and interaction are delivered over the telephone, or via secure messaging. This nurse has a range of responsibilities that focus on providing patient care and support without being physically present in a healthcare facility. Some of the main responsibilities include: - Patient assessment and triage - Hospital follow up - Patient education - Pre and post procedure/surgery care - Patient results communication - Support for preventative care It is expected that all remote nurses are licensed, knowledgeable and uphold the practice of nursing as outlined by the Georgia Professional Nurse Practice Act and implements the Scope of Practice and Code of Ethics Standards put forth by the American Nurses Association. Qualifications - Diploma (Nurse) Nursing or Bachelor's Nursing - Preferred - RN - Reg Nurse (Single State) or RN-COMPACT - RN - Multi-state Compact - BLS - Basic Life Support or ARC-BLS - Amer Red Cross Basic Life Support or BLS-I - Basic Life Support - Instructor Requirements - Minimum 2 years Experience with direct patient care in any care setting - Required - Minimum 1 year Experience in the physician practice setting in specific specialty area - Preferred - Minimum 1 year Experience with virtual care services (e.g., telehealth, triage, other remote nursing function) - Preferred - Excellent interpersonal, verbal, and written communication skills - High - Strong computer and technical skills - High - Excellent time management/organization skills - High - Effective problem solving and critical thinking skills - High - Ability to work in a fast-paced environment with constantly changing priorities - High Benefits - Support to do more meaningful work - Enjoy a more rewarding life - Connect with the most integrated health system in Georgia