RN Specialist, Clinical Documentation
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Job Description
RN Specialist performing clinical documentation reviews and educating providers on documentation accuracy and compliance at Denver Health. Collaborating across departments to ensure accurate patient records.
Responsibilities:
- Under general supervision performs concurrent and retrospective reviews as requested by the Clinical Documentation Integrity Manager or Director.
- Responsible for selected assignments based on internal or external department requests.
- Responsible for educating providers regarding documentation specificity, accuracy, compliance and are permitted to query physicians as deemed necessary.
- Collaborates with Coding, Health Information Management (HIM), Patient Safety and Quality, Enterprise Compliance Services and other departments to promote the common goal of obtaining accurate documentation in the patient's record.
- Must participate in continuous education on ICD-10, clinical medicine, Center of Medicare and Medicaid (CMS) and other billing carriers, as well as coding guidelines and policies.
Requirements:
- Associate's Degree Required
- 4-6 years of experience as a nurse in a hospital environment Required
- 3 of the six years with the appropriate level of experience in one or a combination of the following medical documentation related function: clinical coding, case management, DRG coordination, physician education, Medicaid/Medicare reimbursement. Required
- RN-Registered Nurse - DORA - Department of Regulatory Agencies Required
- Must be able to demonstrate knowledge of the pathophysiology of the disease process.
- Must be able to demonstrate clinical expertise in areas of urgent/emergent, medical/surgical, obstetrical, pediatric, and ambulatory care.
- Must be able to communicate and interact tactfully with physicians and other professionals by expressing ideas clearly and concisely and addressing audiences effectively.
- Ability to read and interpret professional journals, financial reports, and legal documents as necessary.
- Ability to define problems collects and summarizes data, establish facts and draw conclusions.
- Possesses knowledge of clinical documentation and coding concepts, DRG assignments, Inpatient Prospective Payment System (IPPS) and CMS rules and regulations.
- Must also be able to demonstrate knowledge including but not limited to, value-based purchasing, bundled payments, accountable care organizations and readmission reduction program.
- Microsoft Office Excel and SharePoint Variety of documentation and coding programs.
Benefits:
- Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
- 100% paid parental leave up to 6 weeks
- Immediate eligibility for retirement plans with employer contribution up to 9.5%
- Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
- Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
- Free RTD EcoPass (public transportation)
- Childcare discount programs & exclusive perks on large brands, travel, and more
- Tuition reimbursement & assistance
- Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
- Professional clinical advancement program & shared governance
- Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
- National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer
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