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RN Clinical Doc Specialist
1 month ago
St. Josephs Medical Center is a member of Dignity Health. The word dignity perfectly defines what our organization stands for showing respect for all people by providing excellent care. St. Josephs Medical Center was founded in 1899 under the direction of the Dominican Sisters of San Rafael is a not for profit fully accredited regional hospital with 395 beds a physician staff of over 400 and more than 2400 employees. Specializing in cardiovascular care comprehensive cancer services and women and childrens services including neonatal intensive care. St. Josephs is the largest hospital as well as the largest private employer in Stockton California. Nationally recognized as a quality lead St. Josephs is consistently chosen as the most preferred hospital by local consumers.
ResponsibilitiesPosition Summary:
Under general direction RN Clinical Documentation Specialist facilitates improvement in the overall quality completeness and accuracy of medical record documentation. Obtains appropriate clinical documentation through extensive interaction with physicians nursing staff other patient caregivers Care Management and Health Information Management coding staff to ensure that the clinical information used in measuring and reporting outcomes is complete and accurate and that reimbursement is received for the level of services rendered to patients with DRG based payors. Educates all members of the patient care team on documentation guidelines on an ongoing basis. Collects and analyzes data to provide reports and make recommendations. Works collaboratively with staff to provide staff support including assistance with problem solving and recommendations for process improvements. Collaborates with other disciplines regarding proposed DRG changes and proposed quality concerns and communicates with the attending physician or medical director regarding these issues to the appropriate performance improvement committee.
We offer the following benefits to support you and your family:
- Health/Dental/Vision Insurance
- Flexible spending accounts
- Voluntary Protection: Group Accident, Critical Illness, and Identity Theft
- Adoption Assistance
- Free Premium Membership to Care.com with preloaded credits for children and/or dependent adults
- Employee Assistance Program (EAP) for you and your family
- Paid Time Off (PTO)
- Tuition Assistance for career growth and development
- Retirement Programs
- Wellness Programs
- Graduate of an RN School of Nursing
- Current CA RN License
- Bachelors degree required.
- BLS certification
- Four years recent acute care experience.
- Broad knowledge of medical and allied health sciences.
- Demonstrated ability to measure screening criteria against the documented medical record.
- Excellent communication skills and interpersonal relationship skills.
- Recent HMO UR experience preferred.
- Experience preferably in a critical care setting.
- Computer literacy preferred.
