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RN Clinical Doc Integrity Specialist

Mayo Clinic


Location:
Albert Lea, MN 56007
Date:
04/12/2018
2018-04-122018-07-21
Categories:
  • Medical/Surgical
  • Engineering
  • Insurance
  • Operating Room/PACU
  • Infection Control
  • Quality Assurance
  • Medical Records, Informatics
  • Risk Management
Mayo Clinic
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Job Details




City

Albert Lea




State

Minnesota




Telecommute

No




Department

Administration





Position description

The Clinical Documentation Improvement (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. 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. Ability to travel within MCHS region and to attend external meetings is 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.




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 $2,444.00 based on a full-time position.




Benefits eligible

Yes




Schedule

Full Time





Schedule details

Monday through Friday- exempt position. Eventual telework/telecommute with travel onsite per business needs which may vary from daily to weekly.




Weekend schedule

Occasional weekends per business needs.




Site description

Albert Lea is a community of 18,000 in scenic Southern MN, surrounded by several lakes and located just 90 minutes south of Minneapolis and 60 miles from Mayo Clinic in Rochester. Excellent family amenities include a community focus on education (new high school, superb test scores), 38 city parks, 6 nearby golf courses, cultural events, festivals, performing arts, 250 miles of groomed snowmobile trails, Blazing Star Recreational Trail, and Audubon Nature and Wildlife Preserve. Austin is a community of 23,000 surrounded by prairies, rivers and valleys just 90 minutes south of Minneapolis/St. Paul and 40 minutes west of Mayo Clinic in Rochester. Excellent public and parochial education system, including programming for students with special needs and gifted students. Great recreation options including trout fishing, hunting, cross-country skiing, camping, hiking, cycling, indoor/outdoor tennis, canoeing and golfing.




Category

Nursing




Career profile

Nursing




Job posting number

96358BR




Recruiter

Sarah Martin




Equal opportunity employer

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



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