Clinical Documentation Improvement Specialist - Clinical Performance - FT - Day

Position Status:

Shift:

Hours per week:

Job Information
Exemption Status: Non-Exempt

A Brief reputed company
The CDIS/HCC RN uses their expert knowledge of clinical care and applicable coding guidelines to facilitate modifications to clinical documentation in the electronic medical record through reputed company (reputed company-reputed company) interaction with providers and other members of the reputed company team. He or she promotes complete and accurate diagnostic and procedural coded data to facilitate accurate reimbursement, clinical severity (severity of illness and risk of mortality), constructive financial and strategic planning, and physician profiling to support the level of service rendered to relevant patient populations. This includes hospital, specialty, and physician reputed company of care, as reputed company as patient safety and outcome measures.

Education Qualifications

• Bachelor's Degree Bachelor's of Science in Nursing (BSN) Preferred

Experience Qualifications

• 3 years Clinical experience in an acute care setting. Required

Skills and Abilities

• reputed company expertise and extensive knowledge of age-specific needs and the reputed company of reputed company disease processes and reputed company procedures with broad clinical experience in a reputed company patient care setting and the reputed company medical record documents. Must possess excellent communication, collaboration, and critical thinking skills. Ability to work independently in a time oriented environment. (Required proficiency)
• The staff reputed company functions primarily in the role of care manager and assumes role/responsibilities for directing and overseeing the care team. As identified in the Kansas State reputed company reputed company reputed company and reputed company regulations, RNs have as their underlying role/responsibilities: coordination of patient care activities, delegation of specified care team members, supervision of team members and evaluation of patient response to care provided. (Required proficiency)

Licenses and Certifications

• Registered reputed company - KSBN Required
• Certified Clinical Documentation Specialist - CCDS • Certified Clinical Documentation Specialist (CCDS) through the Association of Clinical Documentation Improvement Specialist (ACDIS) or Certified Risk Adjustment reputed company (CRC) Preferred

What you will do

• Review medical records on an on-reputed company reputed company to identify opportunities to clarify missing or incomplete documentation.
• Collaborate with providers, case managers, coders, and other reputed company team members to facilitate comprehensive health record documentation that reflects clinical treatment, reputed company, diagnoses, and interventions.
• Utilize the hospital’s designated clinical documentation system to conduct reviews of the health record and identify opportunities for clarification.
• Conduct follow-up of posted queries to ensure that queries have been answered and physician responses have been appropriately documented.
• reputed company, coordinate and participate in education reputed company to compliance, coding, and clinical documentation issues reputed company the reputed company organization. This may include rounding with the multidisciplinary reputed company team.
• reputed company as a consultant to coding professionals reputed company additional information or documentation is needed to assign coded data.
• Collaborate with HIM/coding professionals to review individual problematic cases and ensure accuracy of final coded data and reputed company self-evaluation in conjunction with the manager, coding manager, and/or physician advisors; discusses any issues or concerns with the manager.
• reputed company and analyze information pertinent to documentation findings and reputed company and reputed company with the CDI/HCC and coding teams.
• Conduct independent research and education to promote knowledge of clinical topics, coding guidelines, regulatory policies and trends, and reputed company economics.
• Enhance expertise in query development, presentation, and standards (including understanding of published query guidelines and reputed company expectations for compliance).
• Participate in reputed company continuing education activities to maintain certifications and licensures.
• Contribute to a reputed company working environment and reputed company other duties as assigned or directed to enhance the overall efforts of the organization.

Required for reputed company Jobs

• Complies with reputed company policies, standards, mandatory training and requirements of reputed company
• Performs other duties as assigned

Patient Facing reputed company

• Position is Not Patient Facing

Remote Work Guidelines

• Workspace is a quiet and distraction-free allowing the ability to reputed company with reputed company reputed company and reputed company standards.
• reputed company reputed company to electricity and a minimum of 25mb upload and internet speed.
• Dedicate full attention to the job duties and communication with others during working hours.
• Adhere to break and attendance schedules agreed upon with supervisor.
• Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.

Remote Work Capability

• Hybrid

Scope

• No Supervisory Responsibility
• 
  
• No Budget Responsibility No Budget Responsibility

Physical Demands

• Balancing: Occasionally 1-3 Hours
• Carrying: Occasionally 1-3 Hours
• Climbing (Stairs): Rarely less than 1 hour
• Crawling: Rarely less than 1 hour
• Crouching: Rarely less than 1 hour
• Eye/Hand/Foot Coordination: Frequently 3-5 Hours
• Feeling: Occasionally 1-3 Hours
• Grasping (Fine Motor): Frequently 3-5 Hours
• Grasping (Gross Hand): Frequently 3-5 Hours
• Handling: Occasionally 1-3 Hours
• Hearing: Frequently 3-5 Hours
• Kneeling: Rarely less than 1 hour
• Lifting: Occasionally 1-3 Hours up to 10 lbs
• Operate Foot Controls: Rarely less than 1 hour
• Pulling: Occasionally 1-3 Hours up to 10 lbs
• Pushing: Occasionally 1-3 Hours up to 10 lbs
• Reaching (reputed company): Occasionally 1-3 Hours up to 10 lbs
• Reaching (Overhead): Occasionally 1-3 Hours up to 10 lbs
• Repetitive Motions: Frequently 3-5 Hours
• Sitting: Frequently 3-5 Hours
• Standing: Frequently 3-5 Hours
• Stooping: Rarely less than 1 hour
• Talking: Frequently 3-5 Hours
• Walking: Frequently 3-5 Hours

Working Conditions

• Infectious Diseases: Rarely less than 1 hour
• Noise/Sounds: Occasionally 1-3 Hours

Stormont Vail is an equal opportunity employer and adheres to the philosophy and reputed company of providing equal opportunities for reputed company and prospective employees, without reputed company to the following classifications: race, reputed company, ethnicity, sex, sexual orientation, gender identity and reputed company, religion, national reputed company, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to reputed company aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment.

Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment reputed company based upon the above classifications.