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Related keywords
- Clinical Documentation Specialist
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- Clinical Documentation Integrity Specialist
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- Quality And Clinical Documentation Rn
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Rn Clinical Analyst Jobs
Recruited by 6 Degrees Health Dx 9 months ago
Address Portland, OR, United States
Rn, Clinical Documentation Integrity Specialist (Remote)
Company | St. Charles Health System |
Address | , , Or |
Employment type | FULL_TIME |
Salary | $78,270 - $107,619 a year |
Expires | 2023-07-29 |
Posted at | 11 months ago |
Typical pay range for the Specialist 1: $37.63 - $51.74 per hour, ($78,270 to $107,619 annually), based on qualifications.
Work experience specifically in the area of clinical documentation is strongly preferred.
This position is the gateway to the Clinical Documentation Integrity series. The position comes with a comprehensive benefits package which includes medical, dental, vision, 403(b) retirement plan, and a generous Earned Time Off (ETO) package.
This full-time position is eligible to work remotely in an approved State by St. Charles: Oregon, Arizona, Florida, Idaho, Missouri, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Tennessee, Utah, and Wisconsin.
Work experience specifically in the area of clinical documentation is strongly preferred.
This position is the gateway to the Clinical Documentation Integrity series. The position comes with a comprehensive benefits package which includes medical, dental, vision, 403(b) retirement plan, and a generous Earned Time Off (ETO) package.
This full-time position is eligible to work remotely in an approved State by St. Charles: Oregon, Arizona, Florida, Idaho, Missouri, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Tennessee, Utah, and Wisconsin.
ST. CHARLES HEALTH SYSTEM
JOB DESCRIPTION
TITLE: Clinical Documentation Integrity Specialist I
REPORTS TO POSITION: Manager, Clinical Documentation
DEPARTMENT: Quality
DATE LAST REVIEWED: April 2023
OUR VISION: Creating America’s healthiest community, together
OUR MISSION: In the spirit of love and compassion, better health, better care, better value
OUR VALUES: Accountability, Caring and Teamwork
DEPARTMENT SUMMARY: The Clinical Documentation Department performs concurrent and selected retrospective medical record reviews in order to facilitate appropriate provider documentation that captures the most complete and accurate clinical conditions impacting patient visits.
POSITION OVERVIEW: The Clinical Documentation Integrity Specialist I at St. Charles Health System provides clinical based review and analysis of the documentation in the patient’s medical record to support accurate capture of patient’s complexity and severity of illness. Utilizes queries of the medical staff and other caregivers to clarify and support completeness of documentation.
This position does not directly manage any other Caregivers.
ESSENTIAL FUNCTIONS AND DUTIES:
Collaborates with physician, mid-level providers, ancillary staff, and medical records coders to identify principle and secondary diagnoses, and principle procedures. Also reviews for quality indicators.
Maintains current knowledge of Medicare’s rules, regulations, and guidelines.
Conducts initial and ongoing concurrent and some retrospective reviews for system wide admissions for all payors, initiates tracking process, and documents findings on EHR tracking system.
Identifies when there is a need to clarify documentation in patient records and initiates queries or communication with providers to capture, accurate documentation of the patient’s severity of illness and risk of mortality in compliance with all guidelines and requirements.
Provides information and education as necessary to providers on an ongoing basis. Collaborates with Physician Advisor to present specialty specific and/or individual education.
Complies with all applicable laws, regulations, policies and procedures, supporting the health system’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all company investigations and proceedings.
Supports the vision, mission, and values of the organization in all respects.
Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
Provides and maintains a safe environment for caregivers, patients, and guests.
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate.
May perform additional duties of similar complexity within the organization, as required or assigned.
EDUCATION:
Required: As required by licensure for RN.
Preferred: BSN
LICENSURE/CERTIFICATION/REGISTRATION:
Required: Current Oregon RN License. Obtain CCDS certification after two years in the role. Maintain CE credits required to obtain re-certification in CCDS.
Preferred: N/A
EXPERIENCE:
Required: Minimum three (3) years of experience in acute inpatient clinical care.
Preferred: Experience with clinical documentation and understanding of clinical coding requirements.
PERSONAL PROTECTIVE EQUIPMENT:
Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.
ADDITIONAL POSITION INFORMATION:
General
Ability to virtually attend business functions/trainings/meetings during general business hours in the Pacific Time Zone.
Ability to work in a productivity-based department.
Ability to maintain focus while reviewing medical records for the majority of the work day.
Ability to adapt to frequent industry and/or process changes.
Communication/Interpersonal
Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS.
Ability to effectively interact and communicate with all levels within SCHS and external customers/clients/potential employees.
Strong team working and collaborative skills.
Ability to effectively reach consensus with a diverse population with differing needs.
Organizational
Ability to multi-task and work independently.
Attention to detail.
Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions.
Strong analytical, problem solving and decision-making skills.
PHYSICAL REQUIREMENTS:
Continually (75% or more): Sitting, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level.
Frequently (50%): Standing, lifting 1-10 pounds, grasping/squeezing.
Occasionally (25%): Bending, reaching overhead, carrying/pushing, or pulling 1-10 pounds.
Rarely (10%): Walking, stooping/kneeling/crouching, climbing stairs.
Never (0%): Climbing ladder/stepstool, lifting/carrying/pushing, or pulling 11-50 pounds, operation of a motor vehicle, ability to hear whispered speech level.
Exposure to Elemental Factors
Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.
Blood-Borne Pathogen (BBP) Exposure Category
No Risk for Exposure to BBP
Schedule Weekly Hours:
40Caregiver Type:
RegularShift:
Is Exempt Position?
YesJob Family:
NON CONTRACT RN SPECIALISTScheduled Days of the Week:
Monday-FridayShift Start & End Time:
Flexible-
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