26 days old
2018-06-212018-07-29

RN Clinical Document Integrity Specialist

Mayo Clinic
Rochester, MN
  • Jobs Rated
    118th
City
Rochester
State
Minnesota
Telecommute
Yes
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. (010577)


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. RN Clinical Documentation Improvement Specialists within Revenue Cycle Quality/Compliance are not required to obtain the certified clinical documentation specialist certification.
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 $2,469.60, based on a full-time position.
Benefits eligible
Yes
Schedule
Full Time
Site description
Mayo Clinic is located in the heart of downtown Rochester, Minnesota, a vibrant, friendly city that provides a highly livable environment for more than 34,000 Mayo staff and students. The city is consistently ranked among the best places to live in the United States because of its affordable cost of living, healthy lifestyle, excellent school systems and exceptionally high quality of life.
Category
Nursing, Other Patient Care
Career profile
Nursing
Job posting number
91503BR
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 Document Integrity Specialist

Mayo Clinic
Rochester, MN

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Mayo Clinic
Rochester, MN
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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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