JOB DESCRIPTION: Provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation of patient acuity and to support acute care services that were delivered. The goal of concurrent review includes facilitation of appropriate physician documentation of care delivery to accurately reflect patient severity of illness and risk of mortality. Specific reviews are both determined internally and by requirements/requests of external payers or regulatory agencies and play a significant role in reporting quality of care outcomes and in obtaining accurate and compliant documentation for billing of services rendered.
MINIMUM QUALIFICATIONS: Graduate of an accredited school of nursing. Current licensure as a Registered Nurse in the state of Georgia. Minimum of 3 years recent clinical experience in an acute care setting, (Critical Care, Medical/Surgical or Emergency department nursing preferred; or 2 years experience in a specialty area.)