Inpatient Clinical Documentation Specialist - RN

Inpatient Clinical Documentation Specialist - RN Boise, ID Job Details Full-time 18 hours ago Qualifications Collaborate with healthcare professionals Nursing Document review (document control) RN License Medical coding Data analysis skills Data reporting Clinical staff training Data entry Clinical documentation improvement Data collection 1 year Healthcare data collection Benchmarking Associate's degree Associate Degree in Nursing Entry level Nursing DRG Full Job Description Under general supervision, the Clinical Documentation Specialist - RN is responsible for facilitating improvement of clinical documentation and coding process. Reviews clinical documentation and facilitates modifications as needed to ensure that documentation accurately reflects the reason for admission, intensity of service rendered, risk of mortality, severity of illness, and conditions present on admission for patients, in compliance with government and other regulations. Obtains appropriate clinical documentation through extensive interaction with physicians and other staff to ensure documentation reflects the level of service rendered. Participates in the development and delivery of education for providers and other staff. Responsible for coordination of case reviews, data collection and entry, data analysis, report preparation, presentation of data and data sharing for process improvement initiatives. Performs moderately complex clinical reviews requiring independent decisions and professional experience and knowledge. Benchmarks and improves clinical documentation impacting quality measurement and the organization's financial performance and reputation. Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and health system outcomes. Reconciles DRG discrepancies collaboratively with HIM team to ensure an accurate compilation of codes sent to fiscal intermediary. Other duties and responsibilities as assigned.

Education:

Associates degree in

Nursing Experience:

1 year relevant experience

Licenses/Certifications:

Current RN license in the state of practice