Wayne UNC Health Care
Goldsboro, NC
252723
Job Description
Description Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. Summary: Analyzes the medical record for clinical status of the patient, current treatment plan and care provided on admission and throughout hospitalization to identify potential gaps in physician documentation; tracks progress of documentation improvement and works collaboratively with the healthcare team to facilitate documentation within the medical record that accurately reflects the patient's condition, severity of illness, risk of mortality, services rendered and medical necessity of resources used. Responsibilities: 1. Reviews documentation and communicates with physicians verbally or through compliant query practice to clarify diagnosis, severity of illness, plan of care and opportunities for more complete...