Greater Baltimore Medical Center - Towson, MD
posted 11 days ago
Under general supervision, the Sepsis Core Measures Abstractor and Documentation Improvement Specialist collaborates with medical, nursing, and Clinical Documentation Improvement (CDI) staff to design and execute duties. This role involves conducting thorough reviews and abstractions of patient records for concurrent reviews and working closely with the Director of Quality & Patient Safety, the Quality Outcomes Manager, and nursing and physician leaders to develop and achieve strategic goals. The specialist provides oversight for the care of sepsis patients throughout their continuum of care, ensuring comprehensive medical care and record documentation that accurately reflects clinical treatments, decisions, and diagnoses for septic inpatients. Additionally, this role supports and coaches' providers in accurate documentation through reviews of clinical quality outcomes, conducts education and training on effective and compliant clinical documentation, and assesses documentation gaps to develop appropriate CDI educational tools to support measurable improvement.
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