22 days old
2018-07-272018-09-14

RN Clinical Doc Integrity Specialist

Mayo Clinic
Eau Claire, WI
  • Jobs Rated
    118th
City
Eau Claire
State
Wisconsin
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
Eau Claire, with a metro area of 163,000 is home to the 11,000 students at the University of Wisconsin – Eau Claire. Strong schools, low crime rate, and a reasonable cost of living may be expected. With an abundance of outdoor activities, Eau Claire was ranked #4 on the list of “Americas best towns” (Outside Magazine, 2015) The city also serves as the retail center for west central Wisconsin and the major metro area of Minneapolis/St. Paul is 90 minutes away. Mayo Clinic Health System in Eau Claire is recognized as a Best Hospital in Northwestern Wisconsin and within the top 10 for Hospitals in Wisconsin (U.S. News & World Report, 2015-2016).
Category
Nursing
Career profile
Nursing
Job posting number
96361BR
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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RN Clinical Doc Integrity Specialist

Mayo Clinic
Eau Claire, WI

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Registered Nurse
118th2018 - Registered Nurse
Overall Rating: 118/220
Median Salary: $70,000

Work Environment
Poor
166/220
Stress
High
173/220
Growth
Good
53/220
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