RN-Clinical Documentation Specialist, Level 2 reviewer(S)

3 weeks ago


Remote, Oregon, United States SSM Health Full time

It's more than a career, it's a calling.

MO-REMOTE

Worker Type:

Regular

Job Summary:

Reviews medical record for risk of mortality (ROM) and intensity of services (IOM). Collaborates with physician regarding accurate documentation reflecting the care patient is receiving.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

  • Reviews electronic medical record for principle diagnosis and all CC's (complication or comorbidity) and MCC's (major complication or comorbidity) for documentation opportunities.
  • Collaborates with physicians through queries regarding documentation opportunities.
  • Completes annual education.
  • Active participant with other members of team regarding opportunities for improvement in standard work.
  • Works in a constant state of alertness and safe manner.
  • Performs other duties as assigned.

EDUCATION

  • Graduate of accredited school of nursing or education equivalency for licensing

EXPERIENCE

  • Two years' registered nurse experience


PHYSICAL REQUIREMENTS

  • Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
  • Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
  • Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
  • Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
  • Frequent keyboard use/data entry.
  • Occasional bending, stooping, kneeling, squatting, twisting and gripping.
  • Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
  • Rare climbing.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS

State of Work Location: Illinois

  • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)


State of Work Location: Missouri

  • Registered Nurse (RN) Issued by Compact State
  • Or
  • Registered Nurse (RN) - Missouri Division of Professional Registration


State of Work Location: Oklahoma

  • Registered Nurse (RN) Issued by Compact State
  • Or
  • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN)


State of Work Location: Wisconsin

  • Registered Nurse (RN) Issued by Compact State
  • Or
  • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services

Work Shift:

Day Shift (United States of America)

Job Type:

Employee

Department:

Sys Clinical Documentation Improvement

Scheduled Weekly Hours:

40

SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.



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