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Clinical Documentation Specialist
hace 4 semanas
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:
This role will be based in Newark, DE, with occasional remote work opportunities. The ideal candidate will have excellent communication and clinical skills, with the ability to work independently and as part of a team.
What We Offer:
As a member of our team, you will have the opportunity to work with a dynamic and supportive organization, with a focus on quality and safety. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.
