job search

RN Clin Doc Integrity Spec

Rochester, MN 55902

Category: Health Job Number: 14906

 

Voca Health has immediate openings available for RN Clin Doc Integrity Spec professionals in Rochester, MN!  Interested candidates should contact aapplen@myvoca.com

 

Voca connects healthcare professionals with fantastic health systems nationwide. Our goal is full partnership with our employees, providing the tools, guidance, and opportunities to help reach their individual goals. Voca provides benefits including insurance, 401k, and dedicated support!

Assignment details are provided below, we’re very excited to hear from you!

 

Assignment Details 

Job Description:

Reports to assigned Clinical Documentation Improvement Specialist (CDI) leader with oversight from site Practice Administrator. Works collaboratively with site/Region Providers, Physician Advisors, Coding, Compliance, Care Coordinators, Medical Records, Quality and other multidisciplinary team members within our Client. 

The Clinical Documentation Improvement (CDI) Specialist is accountable for reviewing patient medical records throughout hospitalization to capture accurate representation of the severity of illness and facilitate proper coding. The CDI Specialist validates that coding reflects medical necessity of services and facilitates appropriate coding which provides an accurate reflection and reporting of the severity of the patient's illness along with expected risk of mortality and complexity of care. Documentation of discharge diagnoses and co-morbidities are a complete reflection of the patient's clinical status and care. Utilizes advanced knowledge of disease processes (pathophysiology), medications, and have critical thinking skills to analyze current documentation to identify gaps. Identifies opportunities in concurrent and retrospective inpatient clinical medical documentation to support quality and effective coding. Understands and applies regulatory compliance related to documentation, coding and billing for all health insurance plans. The CDI Specialist facilitates appropriate modifications to documentation through extensive interactions and collaboration with physicians, coding, case management, nursing and other care givers. Serves as an effective change agent as an educator and resource for physicians and allied health staff to improve the quality and completeness of the clinical documentation. Performs all duties and responsibilities in accordance with ethical and legal business procedures, compliant with federal and state statutes and regulations, official coding rules, guidelines and accepted standards of coding practice including appropriate clinical documentation policies. The American Nurses Association: Scope and Standards of Practice provide a basis for practice of the RN. 

Qualifications

BSN. Current RN license.    CCDS or CDIP with 8-10 years experience as CDI preferred. 5 years CDI experience required. CCDS or CDIP certification required.  CCS or CPC or CRC preferred.

Bachelor of Science in Nursing required. Minimum of three years registered nursing acute care experience required, which includes depth understanding of anatomy, physiology, medical terminology, and disease processes required. Demonstrated skills in analytical thinking, problem solving. Effective verbal and written communication including ability to present ideas and concepts effectively to physicians, management and other members of our healthcare team. Self-motivated and able to work independently without close supervision. Demonstrated ability to work well with others in a creative and challenging work environment. Must be able to work flexible hours which may include evenings and weekends as required to meet business needs. Ability to travel within MCHS region and to attend external meetings is required. 

Additional Experience and/or Qualifications: (Has Achieved Competency in the Following Areas, Job Knowledge and Additional Considerations): 
Certified Clinical Documentation Specialist preferred. National certifications in utilization review, case management, coding, and/or quality preferred. Knowledge of DRG, ICD-10 and CPT coding relative to physician clinical documentation within electronic medical records preferred. Experience in utilization review, clinical documentation, precertification, coding, Medicare regulations, quality assurance, or related area preferred. 

Licensure/Certification Required: 
Current Registered Nursing license for the state location. Must obtain Certified Clinical Documentation Specialist certification within 3 years of hire and maintained.

Traveler Benefits

Partnering with Voca comes with a number of benefits including:

  • Dedicated Recruiter
  • Insurance
  • 401k
  • Competitive, Flexible Pay Packages

Jon Burckhardt
Voca | Senior Recruiter
t 507.288.5260 d 347.293.2564 m 605.321.5208
myvoca.com
Connect with me on LinkedIn

Find me on Facebook @Jon.myVoca

Voca: The Spirit of Work

IND-AA

Ashley Applen

Apply Online
Apply with LinkedIn Apply with Facebook Apply with Twitter

Send an email reminder to:

Share This Job:

Related Jobs:

Login to save this search and get notified of similar positions.