Clinical Documentation Specialist
US-CO-Colorado Springs
mountain-commonspirit_external
Req #: 83202
Type: Full-Time
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Overview: CommonSpirit Health Mountain Region is committed to building healthier communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen-both inside our hospitals and out in the community. With locations throughout Colorado, Utah, and Kansas, we deliver the same high standard of care to our employees as we do to our patients. Our 20 hospitals, emergency and urgent care centers, home care and hospice, Flight for Life Colorado TM , telehealth and over 240 physician practices and clinics offer endless opportunities! Here, you can grow your career and impact the people in the communities you serve. CommonSpirit Health is one of the nation's largest nonprofit, faith-based health systems, with a team of over 150,000 employees and 25,000 physicians and advanced practice clinicians. CommonSpirit operates more than 2,200 care sites and 140 hospitals, serving some of the most diverse communities across the nation, letting humankindness lead the way. Responsibilities: As a Clinical Documentation Integrity (CDI) Specialist, you will work under indirect supervision, facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient. In this role you will be you will: * Educate members of the patient care team regarding documentation guidelines and regulatory requirements, including attending physicians, allied health practitioners, nursing, and case management. * Support timely, accurate, and complete documentation of clinical information used for measuring and reporting hospital and physician-based outcomes * Work independently majority of the time with a high degree of autonomy. Position has possibility to be hybrid with remote options. Remote employees must live/work in one of the following states: Alabama Arizona Arkansas Colorado Florida Georgia Idaho Indiana Iowa Kansas Kentucky Louisiana Missouri Mississippi Nebraska New Mexico North Carolina Ohio Oklahoma South Carolina South Dakota Tennessee Texas Utah Virginia West Virginia Wyoming Qualifications: In addition to bringing humankindness to the workplace each day, qualified Clinical Documentation candidates will need the following: Education Requirements * Nursing Diploma or Associates Degree Required * BSN preferred License/Certification Requirements * Current RN license in state of employment or valid RN license from compact state, required * CCDS, preferred * CDIP, preferred Experience Requirements * Three years of nursing experience in the inpatient hospital setting (critical care and/or strong med/surg experience preferred) or two years of nursing experience in the inpatient hospital setting and one year of CDI experience * Must demonstrate Clinical competency through successfully passing Clinical Competency exam through Nuance * Must demonstrate CDI software competency through passing Clintegrity exam within six months of starting role * Proficiency with MS Office software * Proficient in use of Electronic Health Record * Experience in health information management or hospital quality program preferred * Self-motivated with excellent interpersonal, critical thinking, analytical, organizational, and writing skills Physical Requirements * Sedentary work -(prolonged periods of sitting and exert up to 10lbs force occasionally)
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