RN Clinical Documentation Specialist
Coeur d'Alene-ID--
RN Clinical Documentation Specialist
About the Job:
We are currently seeking qualified candidates for a remote opportunity with a strong preference for individuals who have experience in Clinical Documentation Improvement (CDI) or who have recently completed Clinical Documentation Specialist (CDS) training.
Location:
This is a fully remote position; however, leadership preference is to work during Pacific Standard Time (PST) business hours.
Position Summary:
Responsible for facilitating the improvement in the overall quality, completeness and accuracy of the provider-based clinical documentation in the medical record.
Responsibilities:
- Assigns codes based on the documentation to obtain a working DRG
- Analyzes the medical record to identify gaps in documentation
- Composes queries to providers to obtain clarification of the documentation, following compliant query practice guidelines
- Serves as a resource and participates in the ongoing education of clinicians relating to clinical documentation improvement concepts and coding guidelines to ensure that clinical information utilized in profiling and reporting is complete and accurate
- Utilizes software systems to collect, track and report outcomes and maintain integrity of data collection
- Familiar with standard concepts, practices, and procedures within the field
- Relies on experience and judgment to plan and accomplish goals
- Regular and predictable attendance is an essential job function
- Completes mandatory training requirements
Requirements and Minimum Qualifications:
- Graduate of a nationally accredited Nursing program required. State of Idaho Registered Nurse OR licensure pending as documented by temporary licensure OR current RN licensure from a state participating in the "multistate privilege to practice" compact with Idaho prior to start date
- Licensed RN with a minimum 3 years’ patient-facing RN experience at time of hire, ADN or diploma required; BSN or higher preferred
- All non-BSN RN's with less than 3 years’ patient-facing RN experience at time of hire are required to be enrolled in a baccalaureate (or higher) degree program in nursing within 1 year of employment, with completion within 3 years of hire
- Minimum of 5 years of acute care clinical experience, with preferred focus in ED, critical care and cardiology
- Current certification in CDIP-Certified Documentation Improvement Practitioner or CCDS-Certified Clinical Documentation Specialist and/or willingness to obtain CCDS/CDIP certification after 2 years of CDI experience
- Clinical background in a variety of settings
- Previous experience in clinical documentation preferred
- DRG and coding background preferred
About Kootenai Health:
Kootenai Health is a highly esteemed healthcare organization serving patients throughout northern Idaho and the Inland Northwest. We have been recognized with many accolades and distinctions, including being a Gallup Great Workplace, No. 1 Best Place to Work in Large Healthcare Organizations, and Magnet™ Status for Nursing Excellence. We pride ourselves on our outstanding reputation as an employer and a healthcare provider.
As your next employer, we are excited to offer you:
- Kootenai Health offers comprehensive medical plan options, including options for fully paid employer premiums for our full-time employees. For part-time employees, we offer the same plan options with affordable part-time premiums. In addition to medical insurance, we offer many voluntary benefits ranging from dental and vision to life and pet insurance. Kootenai Health also offers well-being resources and telemedicine service options to all employees, regardless of benefit eligibility. Benefits begin on the 1st of the month following 30 days of employment.
- Kootenai Health’s tuition assistance program is available after 90 days. If you want to further your education, we'll help you pay for it
- Kootenai Health sponsors retirement plans for employees that enable you to save money on a pre-tax and Roth after tax basis for your retirement. Kootenai Health will match your contributions based on years of service ranging from 3-6 percent.
- Competitive salaries with night, weekend, and PRN shift differentials
- An award-winning and incentive-driven wellness program. Including a MyHealth corporate team, onsite financial seminars, and coaching
- Employees receive discounts at The Wellness Bar, PEAK Fitness, and more
- Robust and interactive employee referral program
- And much more
If you strive to be an integral part of a high-quality healthcare system like Kootenai Health, we want to meet you!
Apply today! You can also contact the HR Front Desk at 208-625-4620 or email careers@kh.org with any questions.
Kootenai Health complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, veteran status, or sex. Kootenai Health does not exclude people or treat them differently because of race, color, national origin, age, disability, veteran status, or sex.
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