Clinical Documentation Specialist - RN - Community Health Systems
TUCSON, AZ
About the Job
Description
This is a Hybrid, Full Time, Day Shift Clinical Documentation Specialist position supporting Northwest Healthcare at Northwest Medical Center!
As a Northwest Healthcare system employee, this individual implements clinical documentation improvement (CDI) activities at assigned CHS facilities to ensure that coded diagnoses are an accurate reflection of the patient’s clinical status and care. Reviews medical record documentation and clinical indicators and works with providers to ensure a complete and accurate medical record. Identifies potential gaps in clinical documentation for inpatient and payer populations as directed throughout the hospitalization. Educates physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record.
Position Qualifications/Minimum Requirements
Education: ADN or Diploma in Nursing Program, BSN preferred.
Experience: Required: Five years of acute hospital nursing experience (e.g. medical/surgical unit, intensive care). Preferred: Experience in Utilization Management/Case Management, Critical Care, patient outcomes/quality management and/or inpatient coding, ICU/Critical Care, clinical documentation improvement, ICD coding and MS-DRGs, working in a clinical documentation improvement department or as a consultant and minimum of one (1) year auditing experience .
Licenses/Certifications: Required: Current Arizona RN license or compact state license. Preferred: RHIT, RHIA, CDIP, CDIS, CCDS, CCS and ICD-10 certification or designation.
_Northwest Healthcare (NWHC) is a multi-faceted network dedicated to providing safe, quality care at each of our locations. With four hospitals, two freestanding emergency centers, seven Northwest Urgent Care locations, Northwest Transitions Inpatient Rehabilitation, Skilled Nursing Unit, and a large physician practice including primary care and a variety of specialists, NWHC offers you a wide range of settings in which to work. Common among them all is not only the commitment to providing quality patient care, but to employee satisfaction and growth. Whether caring for patients directly or working in a support role setting, you'll feel the One Northwest culture of teamwork, respect and appreciation for all employees. NWHC is accredited by The Joint Commission and is an equal opportunity employer: race, gender, disability and Veteran status, and VEVRAA Federal Contractor – priority referral Protected Veterans requested._
Qualifications
Education
Required
+ Associates or better in Nursing
Licenses & Certifications
Required
+ L-AZ-RN License
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources.
This is a Hybrid, Full Time, Day Shift Clinical Documentation Specialist position supporting Northwest Healthcare at Northwest Medical Center!
As a Northwest Healthcare system employee, this individual implements clinical documentation improvement (CDI) activities at assigned CHS facilities to ensure that coded diagnoses are an accurate reflection of the patient’s clinical status and care. Reviews medical record documentation and clinical indicators and works with providers to ensure a complete and accurate medical record. Identifies potential gaps in clinical documentation for inpatient and payer populations as directed throughout the hospitalization. Educates physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record.
Position Qualifications/Minimum Requirements
Education: ADN or Diploma in Nursing Program, BSN preferred.
Experience: Required: Five years of acute hospital nursing experience (e.g. medical/surgical unit, intensive care). Preferred: Experience in Utilization Management/Case Management, Critical Care, patient outcomes/quality management and/or inpatient coding, ICU/Critical Care, clinical documentation improvement, ICD coding and MS-DRGs, working in a clinical documentation improvement department or as a consultant and minimum of one (1) year auditing experience .
Licenses/Certifications: Required: Current Arizona RN license or compact state license. Preferred: RHIT, RHIA, CDIP, CDIS, CCDS, CCS and ICD-10 certification or designation.
_Northwest Healthcare (NWHC) is a multi-faceted network dedicated to providing safe, quality care at each of our locations. With four hospitals, two freestanding emergency centers, seven Northwest Urgent Care locations, Northwest Transitions Inpatient Rehabilitation, Skilled Nursing Unit, and a large physician practice including primary care and a variety of specialists, NWHC offers you a wide range of settings in which to work. Common among them all is not only the commitment to providing quality patient care, but to employee satisfaction and growth. Whether caring for patients directly or working in a support role setting, you'll feel the One Northwest culture of teamwork, respect and appreciation for all employees. NWHC is accredited by The Joint Commission and is an equal opportunity employer: race, gender, disability and Veteran status, and VEVRAA Federal Contractor – priority referral Protected Veterans requested._
Qualifications
Education
Required
+ Associates or better in Nursing
Licenses & Certifications
Required
+ L-AZ-RN License
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources.
Source : Community Health Systems