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RN Clinic Document Integrity Specialist (CDI)-Care Management

Mayo Clinic


Location:
Phoenix, AZ
Date:
01/10/2018
2018-01-102018-06-22
Categories:
  • Medical/Surgical
  • Engineering
  • Insurance
  • Operating Room/PACU
  • Infection Control
  • Quality Assurance
  • Medical Records, Informatics
  • Sports medicine
  • Risk Management
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Job Details




City

Phoenix




State

Arizona




Telecommute

No




Department

Nursing




Why Mayo Clinic

The Clinical Documentation Integrity (CDI) Specialist is accountable for reviewing patient medical records throughout hospitalization to capture accurate representation of the severity of illness and facilitate proper coding. Clinical Documentation experience strongly preferred. Also, Master's prepared and Certified CDI strongly preferred.




Position description

The Clinical Documentation Integrity (CDI) Specialist is accountable for reviewing patient medical records throughout hospitalization to capture accurate representation of the severity of illness and facilitate proper coding. The CDI Specialist validates that coding reflects medical necessity of services and facilitates appropriate coding which provides an accurate reflection and reporting of the severity of the patient’s illness along with expected risk of mortality and complexity of care. Documentation of discharge diagnoses and co-morbidities are a complete reflection of the patient's clinical status and care.

Utilizes advanced knowledge of disease processes (pathophysiology), medications, and have critical thinking skills to analyze current documentation to identify gaps.

Identifies opportunities in concurrent and retrospective inpatient clinical medical documentation to support quality and effective coding.

Understands and applies regulatory compliance related to documentation, coding and billing for all health insurance plans.

The CDI Specialist facilitates appropriate modifications to documentation through extensive interactions and collaboration with physicians, coding, case management, nursing and other care givers.

Serves as an effective change agent as an educator and resource for physicians and allied health staff to improve the quality and completeness of the clinical documentation.

Performs all duties and responsibilities in accordance with ethical and legal business procedures, compliant with federal and state statutes and regulations, official coding rules, guidelines and accepted standards of coding practice including appropriate clinical documentation policies.

The American Nurses Association: Scope and Standards of Practice provide a basis for practice of the RN.






Qualifications

Bachelor of Science in Nursing required.

Minimum of three years registered nursing acute care experience required, which includes depth understanding of anatomy, physiology, medical terminology, and disease processes required.






Additional qualifications

Certified Clinical Documentation Specialist preferred.

National certifications in utilization review, case management, coding, and/or quality preferred.

Knowledge of DRG, ICD-10 and CPT coding relative to physician clinical documentation within electronic medical records preferred.

Experience in utilization review, clinical documentation, precertification, coding, Medicare regulations, quality assurance, or related area preferred.

Demonstrated skills in analytical thinking, problem solving.

Effective verbal and written communication including ability to present ideas and concepts effectively to physicians, management and other members of our healthcare team.

Self-motivated and able to work independently without close supervision.

Demonstrated ability to work well with others in a creative and challenging work environment.

Must be able to work flexible hours which may include evenings and weekends as required to meet business needs.




License or certification

Current Registered Nursing license for the state location.

Must obtain Certified Clinical Documentation Specialist certification within 3 years of hire and maintained.




Exemption status

Exempt




Compensation Detail

Education, experience and tenure may be considered along with internal equity when job offers are extended.  The minimum salary every 2 weeks is approx $2,917.60, based on a full-time position.




Benefits eligible

Yes




Schedule

Full Time





Schedule details

Work Monday - Friday 8 hour shifts. Hours of shift will accommodate medical practice documentation needs.




Weekend schedule

May need to work occasional weekends to meet organization needs, but not regularly scheduled.




Site description

Mayo Clinic's campuses in Arizona are located in Phoenix and Scottsdale, in the beautiful Sonoran Desert. The region is known as the Valley of the Sun, a metropolitan area with more than 4 million residents in 25 cities and towns.

With Phoenix being the sixth largest city in the nation, this sunny "desert metropolis" offers the amenities of a big city in the midst of a strikingly beautiful, rugged, southwest landscape.

Scottsdale frequently earns praise as a highly desirable place to live. The city's more than 200,000 residents enjoy a vibrant mix of culinary hot spots, arts and entertainment, professional and collegiate sports teams, and community resources. The region's desert climate promotes an outdoor lifestyle with a full complement of sports and recreation.




Category

Nursing, Other Patient Care




Career profile

Nursing




Job posting number

85985BR




Recruiter

Marcia Edwards




Equal opportunity employer

Mayo Clinic is an equal opportunity educator and employer (including veterans and persons with disabilities).



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