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Clinical Documentation Integrity Specialist - CDI

Benefits Eligibility (Employment Type):  Full-time benefits (32-40 hours per week)
Shift Type:  Day
Shift Length:  8 Hours
Primary Location (City):  Springfield
State:  OR

PeaceHealth is seeking a Clinical Documentation Integrity Specialist - CDI for a 1.0 full time equivalent Exempt position. This position will be working Day shift with shift durations of 8 Hours.

Req ID: 190330

 

JOB SUMMARY

Responsible for improving the overall quality and completeness of clinical documentation. Facilitates improvement to clinical documentation through extensive interaction with key stakeholders to ensure that appropriate reimbursement is received for the service rendered. Ensures the accuracy and completeness of clinical information used for measuring and reporting outcomes. Educates all members of the patient care team on an ongoing basis.

 

ESSENTIAL FUNCTIONS

  1. Ensures the overall accuracy, completeness and timeliness of the clinical documentation to support the coding process in attaining the appropriate Diagnosis Related Groups (DRG).
  2. Ensure the completeness and accuracy of the clinical documentation by: formulating credible clarifications, conferring with providers to clarify clinical diagnosis terminology.
  3. Provide training to providers and caregivers to facilitate accuracy of clinical documentation, impact on coding and reimbursement and to improve methodologies to support data integrity.
  4. Review clinical documentation, identifies incomplete or inaccurate information for clinical relevance. Works with key stakeholders in a timely manner to ensure points of clarification are recorded in medical records, and appropriate DRG assignment completed to allow accurate coding and reimbursement. 
  5. Act as a resource for best practices in clinical documentation, impact of Medicare guidelines and facilitates educating key stakeholders.
  6. Participates as a member of the CDI Task Force.
  7. Apply knowledge of current Medicare part A and how it impacts DRG assignment to the review of clinical documentation.
  8. Perform other related duties as assigned.

 

QUALIFICATIONS

EDUCATION:

  • Graduate of an accredited school/college of nursing or medical school is required.
  • Ability to successfully pass a clinical competency exam.
  • Bachelor’s degree in Healthcare Administration, Nursing or equivalent healthcare degree is preferred.

 

EXPERIENCE/TRAINING:

  • Minimum 3 years recent acute care nursing or physician experience (direct patient care) in hospital setting, either in Intensive Care, Critical Care or Medical /Surgical.
  • Experience as a Clinical Documentation Specialist in a hospital program is preferred.
  • Experience with JA Thomas and 3M 360 Encompass CAC software preferred
  • Knowledge of pathophysiology and disease process. 
  • Knowledge of value based purchasing and other quality metrics affecting the clinical documentation integrity program.

 

LICENSE/CERTIFICATION:

  • Current Registered Nurse licensure if RN CCDS (Certified Clinical Documentation Specialist) preferred.
  • CCRN (Critical Care Registered Nurse) certification preferred

 

OTHER SKILLS:

  • Strong verbal, written and interpersonal communication skills are required.
  • Ability to interact effectively with providers and all levels of staff to achieve quality outcomes is required.
  • Ability to effectively communicate clinical information is required.
  • Ability to analyze/problem solve is required.
  • Computer skills to include word processing, spreadsheet and data entry are required.
  • Strong organization skills with the ability to work in a fast-paced environment independently and as part of an interdisciplinary team are required.
  • Good critical thinking skills, able to assess, evaluate and teach are required.
  • Working knowledge of all areas of adult medicine is required.

 

COMMUNITY/LOCATION SPECIFIC NOTES

  • Additional Registered Nurse licensure may be required within one year of hire, for work performed in other states where PeaceHealth does business.

 

For full consideration of your skills and abilities, please attach a current resume with your application.

 

About Us

PeaceHealth, based in Vancouver, WA, is a not-for-profit Catholic health system employing approximately 16,000 caregivers, a multi-specialty medical group practice with more than 1,200 providers and 10 medical centers serving both urban and rural communities in Washington, Oregon, Alaska.  In 1890, the Sisters of St. Joseph of Peace founded what has become PeaceHealth. Today, the legacy of its founding Sisters continues with a spirit of respect, stewardship, collaboration and social justice in fulfilling its Mission. 

 

Get a feeling for the Spirit of PeaceHealth through this three-minute video, and visit us on Facebook or LinkedIn!  We offer competitive compensation, a robust benefits package and a collaborative, Mission-driven work environment!

 

To learn more please visit: jobs.peacehealth.org.  Questions? Review our Employment FAQ or email Recruitment@peacehealth.org. Please note this email does not accept resumes or applications.

 

Location: Springfield, SHMC at Riverbend (420)
Job Category:  Business, Administrative & Facilities 
Shift:  Day
Shift Length: 8 Hours
FTE: 1.0
Work Type:  Full Time
Hourly compensation starts at: $36.26, more depending on experience
Required Certifications/Licensure: Registered Nurse - Oregon

 

PeaceHealth is committed to providing equal employment opportunities to all qualified job applicants and employees without regard to the following statuses: protected veteran, qualified individual with a disability, race, ethnicity, religion, gender, pregnancy, gender identity, national origin, age, genetic information, sexual orientation, or any other protected status in accordance with local, state, or federal laws.

 

The above information is intended to indicate the general nature and level of work performed by this position. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of caregivers assigned to this job.


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