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RN Clinical Document Improvement Specialist

Mayo Clinic


Location:
Jacksonville, FL
Date:
05/10/2018
2018-05-102018-07-21
Categories:
  • Medical/Surgical
  • Engineering
  • Insurance
  • Operating Room/PACU
  • Infection Control
  • Quality Assurance
  • Medical Records, Informatics
  • Risk Management
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Job Details




City

Jacksonville




State

Florida




Telecommute

No




Department

Nursing





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.

Certified DIS required from ACDIS or AHIMA

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






Additional qualifications

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.

Certification from ACDIS or AHIMA required.






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






Weekend schedule

NA




Site description

Jacksonville is the largest city in area in the continental United States. A beautiful coastal Florida city that features excellent year-round climate, over 20 miles of beaches and outstanding outdoor recreational, cultural and family-oriented amenities. The “River City by the Sea” has an excellent school system, reasonable cost of living and a thriving business environment. Medical professionals and patients are drawn to Jacksonville by an extraordinary network of high-profile healthcare facilities. Jacksonville continues to grow as more people relocate from all over the U.S. and abroad, to see what the great River City has to offer!




Category

Nursing





Job posting number

98505BR




Recruiter

Tricia Harding




Equal opportunity employer

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



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