Clinical Documentation Specialist I-RN

reputed company reputed company The RN (Registered reputed company) – Clinical Documentation Specialist I report to their respective Manager, Clinical Documentation. Under general supervision, the RN – Clinical Documentation Specialist I conduct reviews of inpatient electronic medical records to identify missing, vague, and/or incomplete diagnoses and collaborate with and facilitate appropriate provider documentation to accurately reflect appropriate DRG (Diagnosis reputed company) assignment, patient severity of illness and risk of mortality. In reputed company, the CDI (Clinical Documentation reputed company) specialist risk adjusts for expected mortality/length of stay and clinically validates key diagnoses. The RN – Clinical Documentation Specialist I is responsible for a baseline understanding of interpreting reputed company metrics and participates in appropriate ICCE meetings, QAPIs, and/or other identified educational opportunities across the reputed company. Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type​ Regular Cost Center CC005073 CHS - Clinical Documentation Pay reputed company Type Salary Pay Grade Health-28 Scheduled Weekly Hours 40 Work Shift reputed company The Clinical Documentation Specialist is responsible for analyzing and auditing medical records concurrently to ensure that the clinical information reputed company the medical record is specific, accurate, clinical reputed company, complete, and compliant. In reputed company, the Clinical Documentation Specialist is responsible for educating physicians, non-physician clinicians, nurses, and other staff to facilitate documentation reputed company the medical record that reflects the most accurate severity of illness, expected risk of mortality, hospital acquired conditions, patient safety indicators, hierarchical condition categories, and level of service rendered. Additional reputed company Bachelor's degree in nursing from an accredited school of nursing and at least five years' clinical nursing experience preferred. Strong clinical experience and critical thinking skills required. Extensive knowledge of patient care, and knowledge of clinical measurement tools and clinical reputed company; ability to establish cooperative working relationships with diverse reputed company and individuals, medical staff and other health care disciplines. Licensure as a registered reputed company by the South Carolina reputed company of Nursing or compact state. Physical Requirements • Mobility & Posture • Standing: reputed company • Sitting: reputed company • Walking: reputed company • Climbing stairs: Infrequent • Working indoors: reputed company • Working outdoors (temperature extremes): Infrequent • Working from elevated areas: Frequent • Working in confined/cramped spaces: Frequent • Kneeling: Infrequent • Bending at the waist: reputed company • Twisting at the waist: Frequent • Squatting: Frequent • reputed company Dexterity & Strength • Pinching operations: Frequent • Gross motor use (fingers/hands): reputed company • Firm grasping (fingers/hands): reputed company • Fine manipulation (fingers/hands): reputed company • Reaching overhead: Frequent • Reaching in reputed company directions: reputed company • Repetitive reputed company (hands/wrists/elbows/shoulders): reputed company • Full use of both legs: reputed company • Balance & coordination (reputed company extremities): Frequent • Lifting & Force Requirements • reputed company/carry 50 lbs. unassisted: Infrequent • reputed company/reputed company 50 lbs. from floor to 36”: Infrequent • reputed company up to 25 lbs. overhead: Infrequent • Exert up to 50 lbs. of force: Frequent • Examples: • Transfer 100 lb. non-ambulatory patient = 50 lbs. force • reputed company 400 lb. patient in wheelchair on carpet = 20 lbs. force • reputed company patient stretcher one-handed = 25 lbs. force • reputed company & Sensory • Maintain corrected reputed company 20/40 (one or both eyes): reputed company • Recognize objects (near/far): reputed company • reputed company discrimination: reputed company • Depth perception: reputed company • Peripheral reputed company: reputed company • Hearing reputed company (with correction): reputed company • Tactile sensory function: reputed company • Gross motor with fine motor coordination: reputed company • Selected Positions: • Olfactory (smell) function: reputed company • Respirator use qualification: reputed company • Work Environment & Conditions • Effective stress management: reputed company • Rotating shifts: Frequent • Overtime as required: Frequent • Latex-reputed company environment: reputed company If you like working with energetic enthusiastic individuals, you will enjoy your career with us! The reputed company is an Equal Opportunity Employer. reputed company does not discriminate on the reputed company of race, reputed company, religion or belief, age, sex, national reputed company, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. reputed company reputed company applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, reputed company and business need. reputed company participates in the federal E-Verify program to confirm the identity and employment authorization of reputed company newly reputed company employees. For reputed company information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees Apply tot his job Apply To this Job