Clinical Documentation Specialist RN

2 weeks ago


Aurora CO United States UC Health Full time
Clinical Documentation Specialist RN

, "title" : "Clinical Documentation Specialist RN", "description" : " Description Clinical Documentation Specialist RN Location: Colorado. 100% remote/work-from-home position. Eligible out-of-state candidates may be considered. Department: Clinical Documentation Integrity FTE: PRN, 0.0, 0.00 hours per pay period (2 weeks) Shift: Days Pay: \$37.06 - \$57.44 / hour. Pay is dependent on applicant's relevant experience Summary: Performs concurrent review of clinical documentation in written and electronic medical records to ensure compliant, appropriate and accurate reimbursement based on severity of patient illness, risk of mortality and level of services provided to patients. Collaborates with physicians, nursing staff, ancillary departments, and coding staff to ensure clinical documentation is compliant, complete and accurate. Provides ongoing education and support to the healthcare team in regard to clinical documentation in the medical record. 2 years of CDI experience is required for this position. Responsibilities: * Reviews inpatient medical records for areas of opportunity regarding clinical documentation of diagnosis and procedures to assign a working DRG for identified population. Conducts reviews and documents findings. * Identifies need to clarify documentation in records; communicates with providers to capture documentation that supports the severity of illness and risk of mortality. Conducts follow up reviews for responses to physician queries. Serves as a resource to physicians and staff. * Works with coding staff to assure documentation of diagnoses and comorbidities or complications are a complete reflection of the patient's clinical status and care. * Maintains knowledge of requirements and guidelines to include changes/updates to practice or requirements. Requirements: * Graduate of an accredited or state board of nursing approved Registered/Professional Nursing program. * CO State licensure as a Registered Nurse (RN). * 5 years of recent clinical experience in an acute inpatient nursing unit OR current work experience that requires communication with providers, with 5 years of nursing in an acute care facility.Preferred: * Bachelor's Degree in Nursing. * Critical care and MED/SURG background with the ability to assess and identify relevant acute and chronic medical conditions. * CCDS or CDIP certification. * 2+ years of CDI experience. We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives. UCHealth invests in its Workforce. UCHealth offers a Five Year Incentive Bonus to recognize employee's contributions to our success in quality, patient experience, organizational growth, financial goals, and tenure with UCHealth. The bonus accumulates annually each October and is paid out in October following completion of five years' employment. UCHealth offers their employees a competitive and comprehensive total rewards package: * Full medical, dental and vision coverage * Retirement plans to include 403(b) matching * Paid time off. Start your employment at UCHealth with PTO in your bank * Employer-paid life and disability insurance with additional buy-up coverage options * Tuition and continuing education reimbursement * Wellness benefits * Full suite of voluntary benefits such as identity theft protection and pet insurance * Education benefits for employees, including the opportunity to be eligible for 100% of tuition, books and fees paid for by UCHealth for specific educational degrees. Other programs may also qualify for up to \$5,250 pre-paid by UCHealth or in the form of tuition reimbursement each calendar year Loan Repayment: * UCHealth is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program UCHealth provides employees with free assistance navigating the PSLF program to submit their federal student loans for forgiveness through Savi. UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified. UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an affirmative action/equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, creed, color, religion, gender, national origin or ancestry, age, mental or physical disability, sexual orientation, gender identity, transgender status, genetic information or veteran status. UCHealth does not discriminate against any \"qualified applicant with a disability\" as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.



  • Aurora, CO, United States UC Health Full time

    Clinical Documentation Specialist RN, "title" : "Clinical Documentation Specialist RN", "description" : " Description Clinical Documentation Specialist RN Location: UCHealth Leprino Building Anschutz Campus, US:CO:Aurora Department: Clinical Documentation Integrity FTE: Full Time, 1.0, 80.00 hours per pay period (2 weeks) Shift: Days Pay:...


  • Aurora, United States UC Health Full time

    Clinical Documentation Specialist RN, "title" : "Clinical Documentation Specialist RN", "description" : " Description Clinical Documentation Specialist RN Location: Colorado. 100% remote/work-from-home position. Eligible out-of-state candidates may be considered. Department: Clinical Documentation Integrity FTE: PRN, 0.0, 0.00 hours per pay period...


  • Aurora, United States UCHealth Full time

    Description Clinical Documentation Specialist RN Location: Colorado. 100% remote/work-from-home position but you must reside in Colorado. Department: Clinical Documentation Integrity FTE: PRN, 0.0, 0.00 hours per pay period (2 weeks) Shift: Days Pay: $37.06 - $57.44 / hour. Pay is dependent on applicant's relevant experience Summary: Performs...


  • Aurora, United States UC Health Full time

    Apply now Save job Saved Description Clinical Documentation Specialist RN Location: Colorado. 100% remote/work-from-home position but you must reside in Colorado. Department: Clinical Documentation Integrity FTE: PRN, 0.0, 0.00 hours per pay period (2 weeks) Shift: Days Pay: $37.06 - $57.44 / hour. Pay is dependent on applicant's relevant...


  • Aurora, United States UCHealth Full time

    Description Clinical Documentation Specialist RNLocation: Colorado. 100% remote/work-from-home position. Eligible out-of-state candidates may be considered. Department: Clinical Documentation IntegrityFTE: PRN, 0.0, 0.00 hours per pay period (2 weeks)Shift: Days Pay: $37.06 - $57.44 / hour. Pay is dependent on applicant's relevant experienceSummary:Performs...


  • Naples, FL, United States Physicians Regional - Pine Ridge Full time

    Clinical Documentation Specialist RNJob Description This position is 100% onsite, to allow for better communication and coordination with our staff and providers. The Clinical Documentation Specialist (CDS) performs clinical documentation improvement activities in an effort to support accuracy and quality of the patient records and to ensure that coded...


  • Kennewick, WA, United States Trios Health Full time

    Clinical Documentation Specialist coordinates and collaborates extensively with the physicians and coding staff to improve quality and completeness of documentation of care provided; Facilitates modifications to clinical documentation. Captures clinical severity which is later translated into coded data to support the level of service rendered to relevant...


  • Kennewick, WA, United States Trios Health Full time

    Clinical Documentation Specialist coordinates and collaborates extensively with the physicians and coding staff to improve quality and completeness of documentation of care provided; Facilitates modifications to clinical documentation. Captures clinical severity which is later translated into coded data to support the level of service rendered to relevant...


  • San Antonio, TX, United States Christus Health Full time

    DescriptionSummary:The Clinical Documentation Specialist (CDS) position is responsible for facilitating improvement in the overall quality and completeness of the medical record documentation. The CDS will provide support and expertise through comprehensive assessment and review of inpatient medical records. The CDS will facilitate accurate DRG assignment...


  • San Antonio, TX, United States Christus Health Full time

    DescriptionSummary: The Clinical Documentation Specialist (CDS) position is responsible for facilitating improvement in the overall quality and completeness of the medical record documentation. The CDS will provide support and expertise through comprehensive assessment and review of inpatient medical records. The CDS will facilitate accurate DRG assignment...


  • Shrewsbury, MA, United States Shields Health Full time

    Job Title: Clinical Documentation Improvement Specialist RNDepartment: Ambulatory SurgeryHours: Full-Time M-F, Onsite at The Surgery Center Shrewsbury with travel as required within the ASC Network Reports to: VP of Ambulatory SurgeryAbout our Ambulatory Surgery Centers:With a legacy deeply rooted in outpatient imaging, Shields built upon this expertise,...


  • Livingston, NJ, United States Cooperman Barnabas Medical Center Full time

    Job Summary:The Clinical Document Specialist is responsible for ensuring accurate and compliant physician documentation in the electronic medical record. When Physician Documentation is accurate and compliant, it increases reimbursement, improves quality outcomes and allows for disease tracking/trending.Qualifications: Required:Must be a graduate from an...


  • Jacksonville, FL, United States Saint Vincent's Medical Center Riverside Full time

    Clinical Document Improve Specialist RNDetails * Department: Total Quality Management * Schedule: Full-Time; Days; Monday - Friday 8am-4:30pm * Hospital: Ascension St. Vincents Riverside * Location: Jacksonville, Florida Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match...


  • United States Clinical Pharmacist Specialist - Grady Health System Careers Full time

    Grady Health System offers many career paths. Whether you have many years of experience or are in the early stages on your career, you can find a rewarding position at Grady!  SUMMARY The Burn Critical Care Clinical Pharmacist Specialist is a licensed pharmacist who is responsible for applying knowledge, skill, competence and clinical expertise in our...


  • United States Clinical Pharmacist Specialist - Grady Health System Careers Full time

    Grady Health System offers many career paths. Whether you have many years of experience or are in the early stages on your career, you can find a rewarding position at Grady SUMMARY The Burn Critical Care Clinical Pharmacist Specialist is a licensed pharmacist who is responsible for applying knowledge, skill, competence and clinical expertise in our burn...

  • Travel Nurse RN

    1 month ago


    Santa Rosa, CA, United States PHP Full time

    PHP is seeking a travel nurse RN Clinical Document Improvement Specialist for a travel nursing job in Santa Rosa, California.Job Description & RequirementsSpecialty: Clinical Document Improvement SpecialistDiscipline: RNStart Date: 06/24/2024Duration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelPerks: PHP benefits: Weekly pay, Health...

  • Travel Nurse RN

    1 month ago


    Santa Rosa, CA, United States VitalHire Full time

    VitalHire is seeking a travel nurse RN Clinical Document Improvement Specialist for a travel nursing job in Santa Rosa, California.Job Description & RequirementsSpecialty: Clinical Document Improvement SpecialistDiscipline: RNStart Date: 06/24/2024Duration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelVitalHire Job ID #2509991. Pay...

  • Travel Nurse RN

    4 weeks ago


    Santa Rosa, CA, United States The Judge Group Offshore Travel Full time

    The Judge Group Offshore Travel is seeking a travel nurse RN Clinical Document Improvement Specialist for a travel nursing job in Santa Rosa, California.Job Description & RequirementsSpecialty: Clinical Document Improvement SpecialistDiscipline: RNStart Date: 07/15/2024Duration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelPhysician...

  • RN Specialist

    2 weeks ago


    Pensacola, FL, United States Sacred Heart Hospital Full time

    RN Specialist - Clinical Doc ImproveDetails * Department: HIM Coding Documentation * Schedule: Full Time, 40 hrs/week, Day Shift * Hospital: Ascension Sacred Heart Pensacola * Location: Pensacola, Fl Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term...

  • Travel Nurse RN

    2 weeks ago


    Los Angeles, CA, United States LanceSoft Full time

    LanceSoft is seeking a travel nurse RN Clinical Document Improvement Specialist for a travel nursing job in Los Angeles, California.Job Description & RequirementsSpecialty: Clinical Document Improvement SpecialistDiscipline: RNStart Date: 08/05/2024Duration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelPerks: LOCATION: REMOTE, Required...