Lisa Stephens

Background

About Lisa Stephens

Complete initial review of patient records within 24-48 hours of admission for a specified patient population to evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate drg assignment, risk of mortality, and severity of illness. conducts follow-up reviews of patients every 1-3 days to support and assign a working or final drg assignment upon patient discharge, as necessary. queries physicians regarding missing, unclear, or conflicting health record documentation by requesting and obtaining additional documentation within the health record when needed. educates physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record, collaborates with case managers, nursing staff, chf coordinator, stroke coordinator, and other ancillary staff regarding interaction with physicians on documentation and to resolve physician queries prior to patient discharge. participates in the analysis and trending of statistical data for specified patient populations to identify opportunities for improvement. educates members of the patient care team regarding specific documentation needs and reporting and reimbursement issues identified through daily and retrospective documentation reviews. reviews and clarifies clinical issues in the health record with the coding professionals that would support an accurate drg assignment, severity of illness, and/or risk of mortality. review previous charts that are up for possible denials from respective payors. experience in pediatric cdi for ms-drg and aprdrg payors