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RN Clinical Document Integrity Specialist

Mayo Clinic


Location:
Jacksonville, FL
Date:
09/25/2018
2018-09-252018-11-15
Categories:
  • Allied Health - Exercise Related
  • Engineering
  • Insurance
  • Operating Room
  • Infection Control
  • Quality Assurance / Safety
  • Coding/Billing/Medical records
  • Risk Management
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Job Details

City
Jacksonville
State
Florida
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
Certified Clinical Documentation Specialist REQUIRED.

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

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
Certified Clinical Documentation Specialist REQUIRED.

Current Registered Nursing license for the state location.



Exemption status
Exempt
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
104963BR
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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