Medical Writer in Costello Medical's Medical Communications team specializing in scientific publications and communication of clinical trial data. Collaborating with clients to deliver high - quality scientific materials.
About the role
- Clinical Documentation Improvement Specialist reviewing inpatient medical records for Atrium Health. Ensuring accurate diagnoses and working with healthcare teams to improve documentation.
Responsibilities
- Reviews selected populations of inpatient medical records to identify the principal and/or secondary diagnoses
- Appropriately assigns the MS-DRG that most accurately reflects the severity of illness of the patient based upon the clinical evidence documented at the time of the record review
- Demonstrates knowledge and understanding of severity based DRG systems; All Patient Refined and Medicare Severity (AP-DRG) and Medical Severity Diagnostic Related Group System (MS-DRG)
- Demonstrates the ability to utilize the licensed software tool to perform and record daily medical record reviews
- Interacts with the physician and/or other designated members of the healthcare team to ensure that vague or incomplete documentation is clarified within the medical record in a timely manner
- Works with other departments such as coding, corporate compliance, quality, and finance to support Corporate Goals
- Participates in the ongoing education of physicians, nurse practitioners, physician assistants and other healthcare team members to identify medical record documentation improvement opportunities employing conflict resolution skills as necessary
- Utilizes critical thinking skills based upon extensive knowledge of disease processes and clinical outcomes to identify the need for further clarification of physician documentation within the medical record
- Ensures that all written requests to physicians for additional documentation support Corporate Compliance policies
Requirements
- Registered Nurse applicable state Licensure required
- Bachelor's Degree Required
- Appropriate professional certification required within 3 years of hire date per department protocol
- 5 years of related nursing experience preferred
- Clinical experience within the assigned population
- Extensive knowledge of disease processes and clinical outcomes
- Case Management experience or background helpful
- Strong financial and analytical skills preferred
- Word, Outlook, Excel experience preferred
Benefits
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
RN specializing in clinical documentation integrity for pediatric patients at Connecticut Children's. Collaborating with healthcare providers to enhance documentation standards and accuracy.
Principal Medical Writer at IQVIA producing inspection - ready Clinical Study Reports for Phase 1 studies. Collaborating with teams to ensure compliance with regulatory and internal guidelines while maintaining document quality.
Principal Digital Medical Writer translating complex scientific evidence into engaging medical communications. Leading evidence synthesis projects and collaborating with digital, data, and design teams in a hybrid role.
Medical Writer creating and reviewing regulatory and public - facing documents. Supporting clinical and regulatory strategies with an emphasis on compliance and health literacy principles.
Senior Medical Writer overseeing high - quality clinical and regulatory documents at Ipsen, a biopharmaceutical company. Leading cross - functional teams and contributing to regulatory strategy while ensuring compliance and innovation in medical writing practices.
Medical Writer I role focusing on document management within Veeva systems for clinical projects. Supporting compliance and adherence to GxP guidelines while collaborating with stakeholders.
Medical Copywriter creating pharmaceutical promotional content for a global digital agency. Developing strategies and overseeing editorial quality for marketing communications in the life sciences sector.
CDI Nurse assisting GBMC Health Partners with documentation improvement efforts. Collaborating with physicians and clinicians on patient records and risk management.
Clinical Documentation Specialist working with healthcare teams to ensure accurate medical record documentation. Aiding in compliance and coding education for clinical documentation improvement.