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Clinical Documentation Specialist
hace 1 mes
Job Summary:
We are seeking a highly skilled Registered Nurse to join our team as a Clinical Documentation Integrity Quality & Safety Specialist. This role will focus on ensuring the accuracy and completeness of clinical documentation, while also promoting quality and safety initiatives within our organization.
Key Responsibilities:
- Participate in performance improvement activities to enhance documentation and coding practices
- Review targeted encounters for completeness and accuracy, collaborating with Physician Advisors as needed
- Utilize Vizient tools and data to identify documentation opportunities and provide targeted physician education
- Manage, coach, and mentor less experienced healthcare personnel in best practice documentation
- Ensure all concurrent and retrospective queries are clinically relevant and escalate to Physician Champions as appropriate
- Facilitate DRG Reconciliation and provide feedback to CDS/Coding and Leadership
Requirements:
- Bachelor's degree in nursing
- Delaware RN License or compact Nursing License
- Strong medical terminology and clinical awareness
- Effective communication and clinical skills
- Clinical Documentation Certification (CCDS) required within 1 year of eligibility
- Minimum of 3 years CDI experience, with a focus on PSIs preferred
- Minimum of 3 years recent experience as a Registered Nurse in an inpatient acute care hospital setting preferred
Working Conditions:
- Limited patient contact
- Normal Office Environment
- Possible remote work opportunities
Physical Demands:
- Ability to ambulate within the hospital setting
- Occasional sitting, standing, and lifting loads of 5-10 pounds
- Ability to utilize computer equipment/programs
Education & Experience Requirements:
We are an equal opportunity employer and welcome applications from diverse candidates. If you are a motivated and detail-oriented Registered Nurse with a passion for quality and safety, we encourage you to apply for this exciting opportunity.
