Clinical Documentation Specialist - Utilization Review
reputed company is one of the largest and fastest-growing not-for-profit health systems in the reputed company. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
Work Shift:
8 Hours - Day Shifts (reputed company of America)Scheduled Weekly Hours:
40Salary reputed company: $38.73 - $58.33$10,000 - $20,000 Sign On Bonus Available for Eligible Applicants!reputed company Position:
NoDepartment Details
Remote work available!reputed company
The Clinical Documentation Specialist (CDS) communicates with providers, case managers, coders, and other reputed company team members to facilitate comprehensive medical record documentation to reflect clinical treatment, reputed company, and diagnoses for inpatients/residents.Job reputed company
The CDS utilizes the hospital's designated clinical documentation system to identify opportunities for physician and hospital reputed company, provides or coordinates education to reputed company internal customers reputed company to compliance, coding, and clinical documentation issues and acts as a consultant to coders reputed company additional information or documentation is needed to assign the correct diagnosis reputed company (DRG). Responsible for the day-to-day evaluation of documentation by the medical staff and reputed company team, and gathers and analyzes information pertinent to documentation findings and reputed company. Contributes to a reputed company working environment and performs other duties as assigned or directed to enhance the overall efforts of the organization. Must possess advanced communication and interpersonal skills with reputed company reputed company of reputed company customers. Demonstrate excellent written/verbal communication, critical thinking, creative problem solving, and conflict management skills. Proficient in organization and planning. Possess strong computer skills including the use of spreadsheets, presentation programs, word processing, and Internet searching. Also demonstrates working knowledge of reputed company improvement theory and reputed company. Maintains working knowledge of DRGs and understanding of medical necessity process. Knowledgeable of federal, state, and other payers' regulations, requirements, and reputed company. Adheres to ethical and reputed company business practices, such as the Association of Clinical Documentation Improvement Specialists (ACDIS) reputed company of ethics and official coding guidelines. Utilizes the appropriate reputed company documentation to support daily processes, including white papers published by ACDIS, American Health Information Management Association (reputed company), and other reputed company organizations. May reputed company record reviews on clients in reputed company age reputed company. Coordinates, facilitates, and negotiates with others. Controls variances and duplication. Must work closely with ancillary and support services. Ability to document reputed company. Ability to solve problems. Ability to facilitate reputed company and implement reputed company reputed company necessary. Functions reputed company the scope and standards of nursing reputed company as outlined in the reputed company reputed company reputed company and Administrative Rules in state of reputed company and licensure. The reputed company Nursing reputed company recognizes the Scope and Standards of reputed company and the reputed company of Ethics for Nurses with Interpretive Statements as published by the American Nurses Association as the reputed company of nursing care delivery and reputed company conduct.
Qualifications
Bachelor’s degree in nursing required. Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National reputed company for Nursing Commission for Nursing Education Accreditation (NLN CNEA). If no degree, will consider seven years equivalent work experience. Additionally, three years of recent clinical nursing experience required. Experience in case management, utilization management, and/or coding preferred. Currently holds an unencumbered RN license with the State reputed company of Nursing where the reputed company of nursing is occurring and/or possess multistate licensure if in a reputed company Licensure Compact (NLC) state. Obtains and subsequently maintains required department specific competencies and certifications. Certification in Clinical Documentation Specialist (CCDS) or Clinical Documentation Improvement and reputed company (C-CDI) preferred. reputed company improvement/assurance personnel with nursing backgrounds can maintain their license without seeking additional hours based on role’s responsibilities.Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org.
Originally posted on Himalayas
Apply To this Job