Clinical Documentation Specialist RN Job at Advocate Aurora Health

Clinical Documentation Specialist-RN

This role will facilitate the modifications of clinical documentation through ex...

Location

United States , Chicago

Salary:

38.20 - 57.30 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Graduate from an accredited school of nursing
BSN
5 years relevant clinical experience (For associates in process level 25013 5 years relevant pediatric clinical experience)
Clinical documentation improvement experience preferred
Ability to prioritize work
Excellent communication skills
Good problem solving skills
Critical thinking skills
Basic Computer skills
Effective problem~solver with good interpersonal communication skills verbal and written

Job Responsibility

Facilitate the modifications of clinical documentation through extensive initial and concurrent interaction with physicians and other members of the healthcare team to support appropriate documentation of the clinical severity and risk of mortality is captured for the level of services rendered to select inpatients populations
Supports timely accurate and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes and provides education to all members of the health care team on an ongoing basis
Improves the overall quality and completeness of clinical documentation by performing chart reviews using clinical documentation guidelines based on accepted standards evidenced based practice and current regulatory requirements
Educates all internal customers on clinical documentation opportunities

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Appeals And Grievances Clinical Specialist - Rn, Lpn Or Dental Hygienist

Position Summary: The Appeals & Grievances (A&G) unit manages Healthfirst member...

Location

United States , New York City; Lake Mary

Salary:

73400.00 - 120360.00 USD / Year

Healthfirst

Expiration Date

Until further notice

Requirements

RN, LPN OR Dental Hygienist
Bachelor’s degree
Experience in clinical practice with experience in appeals & grievances, claims processing, utilization review or utilization management/case management
Demonstrated understanding of Utilization Review Guidelines (NYS ART 44 and 49 PHL), InterQual, Milliman or Medicare local coverage guidelines
Ability to work independently on several computer applications such as Microsoft Word and Excel, as well as corporate email and virtual filing system, (ie. Macess)
Experience with care management systems, such as CCMS, TruCare and Hyland
Demonstrated ability to manage large caseloads and effectively work in a fast-paced environment

Job Responsibility

Responsible for case development and resolution of clinical cases, such as: Pre-existing Conditions, Prior Approval, Medical Necessity, Pre-certification, Continued Stay, Reduction, Termination, and Suspension of services
Research issues
Reference and understand HF’s internal health plans policies and procedures to frame decisions
Interpret regulations
Resolve cases and make critical decisions
Update file documentation such as the file notes and case summary
Manage all duties within regulatory timeframes
Communicate effectively to hand-off and pick-up work from colleagues
Work within a framework that measures productivity and quality for each Specialist against expectations
Prepare cases for Medical Director Review ensuring that all pertinent information (i.e. case summary, contract information, internal and external responses, diagnosis, and CPT codes and descriptions) has been obtained during investigation and is presented as part of the case

What we offer

medical, dental and vision coverage
incentive and recognition programs
life insurance
401k contributions

Fulltime

Clinical Documentation Specialist

We’re seeking a detail-oriented and collaborative Clinical Documentation Special...

Location

United States , Concord

Salary:

49.00 - 56.00 USD / Hour

Emerson Hospital

Expiration Date

Until further notice

Requirements

Bachelor of Science in Nursing (BSN) or Bachelor of Science in Biology or a related healthcare clinical program (e.g., Medical Records/Health Information Management)
3–5 years of acute care or equivalent clinical experience, or 3+ years of inpatient coding experience
Current Massachusetts Registered Nurse (RN) license and/or AHIMA coding certification (e.g., CCS, RHIT, RHIA) required
Ability to work independently and manage responsibilities with minimal supervision
Strong verbal and written communication skills
Proven ability to build effective working relationships with a wide range of healthcare providers
Team-oriented mindset with strong collaboration and information-sharing skills
Critical thinking and problem-solving abilities in complex clinical scenarios
Strong organizational skills with the ability to stay focused despite frequent interruptions
Proficiency with computer systems and ability to quickly learn new software applications

Job Responsibility

Review medical records to ensure accurate, complete, and compliant clinical documentation
Collaborate with physicians and care teams to clarify and improve documentation quality
Apply clinical and coding knowledge to support accurate code assignment and reimbursement
Facilitate documentation improvement initiatives in both concurrent and retrospective reviews
Educate providers and care teams on CMS regulations, documentation standards, and best practices
Partner with coding professionals to ensure alignment between documentation and coding outcomes
Support quality, compliance, and continuous improvement initiatives across the organization

What we offer

Competitive compensation and comprehensive benefits

Fulltime

Clinical Documentation Specialist

As a Clinical Documentation Integrity (CDI) Specialist, you will work under indi...

Location

United States , Centennial

Salary:

35.59 - 53.73 USD / Hour

American Nursing Care

Expiration Date

Until further notice

Requirements

Nursing Diploma or Associates Degree Required
Current RN license in state of employment or valid RN license from compact state, required
Three years of nursing experience in the inpatient hospital setting (critical care and/or strong med/surg experience preferred) or two years of nursing experience in the inpatient hospital setting and one year of CDI experience
Must demonstrate Clinical competency through successfully passing Clinical Competency exam through Nuance
Must demonstrate CDI software competency through passing Clintegrity exam within six months of starting role
Proficiency with MS Office software
Proficient in use of Electronic Health Record
Self-motivated with excellent interpersonal, critical thinking, analytical, organizational, and writing skills
Sedentary work -(prolonged periods of sitting and exert up to 10lbs force occasionally)

Job Responsibility

Facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient
Educate members of the patient care team regarding documentation guidelines and regulatory requirements, including attending physicians, allied health practitioners, nursing, and case management
Support timely, accurate, and complete documentation of clinical information used for measuring and reporting hospital and physician-based outcomes
Work independently majority of the time with a high degree of autonomy.

What we offer

Medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings

Fulltime

RN Documentation Improvement Specialist

Location

United States , Kings Mountain

Salary:

38.20 - 57.30 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Registered Nurse applicable state Licensure required
Bachelor's Degree Required
Appropriate professional certification required within 3 years of hire date per department protocol
5 years of related nursing experience preferred
Clinical experience within the assigned population
Extensive knowledge of disease processes and clinical outcomes
Case Management experience or background helpful
Strong financial and analytical skills preferred
Word, Outlook, Excel experience preferred

Job Responsibility

Reviews selected populations of inpatient medical records to identify the principal and/or secondary diagnoses
Appropriately assigns the MS-DRG that most accurately reflects the severity of illness of the patient based upon the clinical evidence documented at the time of the record review
Demonstrates knowledge and understanding of severity based DRG systems
All Patient Refined and Medicare Severity (AP-DRG) and Medical Severity Diagnostic Related Group System (MS-DRG)
Demonstrates the ability to utilize the licensed software tool to perform and record daily medical record reviews
Interacts with the physician and/or other designated members of the healthcare team to ensure that vague or incomplete documentation is clarified within the medical record in a timely manner
Works with other departments such as coding, corporate compliance, quality, and finance to support Corporate Goals
Participates in the ongoing education of physicians, nurse practitioners, physician assistants and other healthcare team members to identify medical record documentation improvement opportunities employing conflict resolution skills as necessary
Utilizes critical thinking skills based upon extensive knowledge of disease processes and clinical outcomes to identify the need for further clarification of physician documentation within the medical record
Ensures that all written requests to physicians for additional documentation support Corporate Compliance policies

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Clinical Informatics Specialist RN

The Clinical Informatics Specialist RN is a clinical professional who is under t...

Location

United States , Augusta

Salary:

Not provided

Wellstar Health System

Expiration Date

Until further notice

Requirements

Associates and/or equivalent Required
Bachelors of Science in a Health related field - Preferred
Reg Nurse (Single State) or RN - Multi-state Compact
Basic Life Support or BLS - Instructor
Minimum 3 years of experience in clinical practice at the bedside and/or information systems related activities Required
experience with a combination of clinical practice and information system implementations. Preferred
Ability to read, write and speak the English language.
Strong customer service skills.
Proficient in the use of Internet browsers and Microsoft Office products.
Excellent verbal and written communication skills.

Job Responsibility

Provide clinical informatics services to individuals, physicians, departments and agencies that are a part of WellStar Health System.
Participates in the assessment of needs pertaining to clinical information systems, including hardware, software, staff development and management support.
Provides content expertise that supports care area teams.
In collaboration with clinical leaders, this role is responsible for the design, development and implementation of the clinical informatics plan.
Provides leadership and change management methodologies to advance the clinical team utilization of informatics.
Oversees end user optimization and efficiency, embeds evidence based, and analytics model to ensure patient outcomes and improve clinical performance.
Works with members of the information technology departments, providers, super-users, clinical departments and other WHS personnel to accomplish strategic goals.
Analyze clinical workflows and be able to promote process changes to support the proficient use of the system.
Assess information and knowledge needs of health care professionals and patients.
Characterize, evaluate, and refine clinical processes.

Fulltime

RN Documentation Improvement Specialist

RN Documentation Improvement Specialist position at Atrium Health Kings Mountain...

Location

United States , Kings Mountain

Salary:

38.20 - 57.30 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Registered Nurse applicable state Licensure required
Bachelor's Degree Required
Appropriate professional certification required within 3 years of hire date per department protocol
5 years of related nursing experience preferred
Clinical experience within the assigned population
Extensive knowledge of disease processes and clinical outcomes
Case Management experience or background helpful
Strong financial and analytical skills preferred
Word, Outlook, Excel experience preferred

Job Responsibility

Reviews selected populations of inpatient medical records to identify the principal and/or secondary diagnoses
Appropriately assigns the MS-DRG that most accurately reflects the severity of illness of the patient based upon the clinical evidence documented at the time of the record review
Demonstrates knowledge and understanding of severity based DRG systems
All Patient Refined and Medicare Severity (AP-DRG) and Medical Severity Diagnostic Related Group System (MS-DRG)
Demonstrates the ability to utilize the licensed software tool to perform and record daily medical record reviews
Interacts with the physician and/or other designated members of the healthcare team to ensure that vague or incomplete documentation is clarified within the medical record in a timely manner
Works with other departments such as coding, corporate compliance, quality, and finance to support Corporate Goals
Participates in the ongoing education of physicians, nurse practitioners, physician assistants and other healthcare team members to identify medical record documentation improvement opportunities employing conflict resolution skills as necessary
Utilizes critical thinking skills based upon extensive knowledge of disease processes and clinical outcomes to identify the need for further clarification of physician documentation within the medical record
Ensures that all written requests to physicians for additional documentation support Corporate Compliance policies

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Dialysis Specialist Rn

As our Dialysis Nurse, you will provide specialized, compassionate nursing care ...

Location

United States , Chattanooga

Salary:

34.69 - 51.59 USD / Hour

American Nursing Care

Expiration Date

Until further notice

Requirements

Graduate of an accredited school of Nursing
One (1) year of acute care experience within the last three (3) years
Completion of Hemodialysis training program
Registered Nurse: TN, upon hire
Basic Life Support - CPR, upon hire
Advanced Cardiac Life Support, within 6 - months

Job Responsibility

Provides specialized, compassionate nursing care for patients undergoing various dialysis treatments, ensuring their safety and optimal clinical outcomes
Assess patient conditions, proficiently initiate and monitor dialysis treatments, educate patients on their disease and treatment plan, meticulously manage vascular access, and ensure strict adherence to safety and infection control protocols
Manages and coordinates the care of patients in a defined care delivery model, utilizing the nursing process, which includes assessment, planning implementation and evaluation
Supervises and/or provides all nursing care provided to an assigned population
Collaborates and communicates effectively with the interdisciplinary team
Accountable for patient/family education
Documents nursing care and patient status in accordance with the nursing standards of care
Provides a safe environment and promotes quality patient care through adherence to established standards

What we offer

Medical, prescription drug, dental, vision plans
Life insurance
Paid time off
Tuition reimbursement
Retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings
FSA
Matching retirement plans
Adoption assistance

Fulltime

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Clinical Documentation Specialist RN

Job Description

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