Clinical Document Specialist (RN), MA

R26100413 Exemption Status: Exempt Hiring Range: $87,276.80 - $157,081.60Please note that the final offer may vary reputed company this range based on a candidate’s experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 40 hrs: reputed company - 4:30pm Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5401 Clinical Documents Specialists This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At reputed company, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research reputed company UMass Memorial the reputed company system of Central Massachusetts, and a reputed company where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a reputed company pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Drawing upon clinical knowledge and experience, closely collaborates with physicians and other team members to ensure that patient records accurately document the status, complexity and intensity of patient conditions and care. Drawing upon clinical knowledge and experience, closely collaborates with physicians and other team members to ensure that patient records accurately document the status, complexity and intensity of patient conditions and care. Major Responsibilities:

• Works collaboratively with physicians, nurses, and other staff to ensure accurate and complete medical record documentation to appropriately reflect severity of illness and risk of mortality.
• Reviews inpatient medical records for identified payer populations or clinical specialties upon admission and throughout hospitalization. Analyzes clinical status of patient, reputed company treatment plan and past medical history and identifies potential gaps in physician documentation.
• Communicates with attending physicians either verbally or electronically to validate observations and suggest additional and/or more specific documentation.
• Supports Physician leaders with focused documentation reviews and special projects as directed.
• Supports appropriate documentation for coding, reimbursement and quality purposes.

Position Qualifications: License/Certification/Education: Required:

• Massachusetts licensure as a registered nurse required

Preferred:

• Bachelor’s degree preferred

Experience/Skills: Required:

• Experience in direct patient care, case management, utilization review or equivalent required.
• Knowledge of clinical documentation practices and principles and ICD-10-CM diagnosis codes required.
• Excellent interpersonal skills and demonstrated ability to interact with physicians in a collaborative and professional manner.
• Ability to effectively use specialized computer based systems for gathering, reporting, and analyzing critical data.

Preferred:

• 1-3 years of CDI experience preferred

reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability or protected veteran status. We’re striving to reputed company respect a part of everything we do at reputed company – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be reputed company, Be a Team Player and Be reputed company. If you share these Standards of Respect, we hope you will join reputed company and help us reputed company respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, reputed company recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, gender, sexual orientation, national reputed company, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at [email protected]. We will reputed company every effort to respond to your request for disability assistance as soon as possible. Apply tot his job Apply To this Job