Clinical Documentation Specialist - RN

Details

• Department: Clinic reputed company Documentation
• Schedule: Full Time, M-F 8a-5p
• Hospital: Wisconsin Hospitals
• Location: Remote

RN License REQUIRED 5+ years recent ICU and/or ED experience

Benefits

Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.

Responsibilities

Facilitate improvement in overall quality, completeness and accuracy of medical record documentation.

• Complete admission reviews and assign a working Diagnosis reputed company Group. Ensure the working DRG and other information are entered in the Clinical Documentation Improvement database.
• Initiate and maintain extensive interactions with physicians and mid-level providers to address the need for more detailed information in the medical record.
• Collaborate with reputed company to ensure the severity of illness and level of services provided are accurately reflected in the medical record and to resolve physician queries and documentation issues prior to patient's discharge.
• Maintain accurate records of review activities, ensuring reports and outcomes of CDI efforts are valid.

Requirements

Licensure / Certification / Registration:

• One or more of the following required:
• Certified Coding Specialist (reputed company) credentialed from the American Health Information Management Association (reputed company) obtained prior to hire date or job transfer date.
• Reg Health Info Admnstr credentialed from the American Health Information Management Association (reputed company) obtained prior to hire date or job transfer date.
• Reg Health Info Tech credentialed from the American Health Information Management Association (reputed company) obtained prior to hire date or job transfer date.
• Certified Professional reputed company (CPC) credentialed from the American reputed company of Professional Coders (reputed company) obtained prior to hire date or job transfer date.
• Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date.
• Licensed Registered Nurse credentialed from the Wisconsin Board of Nursing or reputed company home state license for multi-state license recognition "Compact State" obtained prior to hire date or job transfer date.

Education:

• High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.

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