Clinical Documentation Improvement SpecialistThis is a hybrid position. Monday-Friday typical daytime hours.Pay Range: $38.20 - $57.30Major Responsibilities:Reviews Medicare inpatient medical records to ensure appropriate documentation of co-morbidities and complicating diagnoses.Manages daily work list of patients meeting priority list diagnoses for documentation improvement including top volume/variance DRG pairs, Pneumonia, Respiratory, Sepsis.Queries appropriate physician for necessary documentation. Follows-up to ensure query response from physician.Maintains database on queries, response to query and documentation outcomes.Uses database reports to identify physician education needs and to report on success of documentation program. Develops and provides education programs to appropriate providers.Acts as a resource to the Utilization Managers for early assignment of a working DRG on all Medicare patients.Provides education/training to other UM staff to maintain a backup to the documentation specialist in case of time off. Coordinates patient care throughout inpatient or observation stays.Actively participates in Performance Improvement (PI) processes.Actively participates in departmental and organization-wide Lean/Six Sigma program 100 day workouts. Maintains workload to ensure progress towards departmental goals and objectives.Identifies, documents and reports variances, quality, cost and risk issues to management. Supports and participates in the review and modification of policies, procedures and processes.Performs other related duties as assigned.Licensure, Registration, and/or Certification Required:Valid, active unencumbered Nursing license approved by the Georgia Licensing Board, HIM/Coding certification preferredEducation Required:Graduate of an accredited School of Professional Nursing, BSN or MSN PreferredExperience Required:5 or more years hospital experience caring for short term acute patients Comprehensive understanding of reimbursement mechanismsPhysical Requirements and Working Conditions:Full range of body motion including handling and lifting patients, manual and finger dexterity and eye-hand coordination. Standing and walking for extensive periods of time. Occasionally lifts and carries weight up to 50 pounds. Ability to distinguish letters, numbers and symbols with vision and hearing within normal range to respond to Code alerts and equipment alarms. Work-related stress due to volume and time constraints with irregular working hours.This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.Our Commitment to You:Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more so you can live fully at and away from work, including:CompensationBase compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or trainingPremium pay such as shift, on call, and more based on a teammate's jobIncentive pay for select positionsOpportunity for annual increases based on performanceBenefits and morePaid Time Off programsHealth and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term DisabilityFlexible Spending Accounts for eligible health care and dependent care expensesFamily benefits such as adoption assistance and paid parental leaveDefined contribution retirement plans with employer match and other financial wellness programsEducational Assistance ProgramAbout Advocate HealthAdvocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.