Provides clinically based concurrent review of patient medical records to ensure documentation accurately reflects the level of clinical services, severity of illness and specificity of care. Responsibilities require interaction with physicians, nursing staff, medical records coding staff, compliance specialists and other healthcare providers to ensure that clinical information in the medical record is present and accurate so that the appropriate utilizations, clinical severity, outcomes and quality are captured for the level of service rendered and ensure compliant reimbursement of patient care services. RESPONSIBILITIES: Reviews and analyzes patient medical record to assess and procure accurate and complete documentation of patient diagnoses
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