Associate Clinical Documentation Improvement Specialist - Part Time

Mercy • Joplin, MO

1d

About The Position

The Clinical Documentation Specialist provides clinically based, concurrent and retrospective reviews of inpatient medical records. Will work to identify opportunities and ensure accuracy and completeness of clinical documentation used for measuring and reporting physician and hospital outcomes. This position collaborates with inpatient care providers to ensure accurate, complete, compliant, concise, and consistent documentation that reflects the true clinical scenario of the patient’s encounter. This additionally serves to reflect the true Severity of Illness (SOI), Risk of Mortality (ROM), and intensity of services rendered to provide quality care and treatment to the patient. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.

Requirements

• RN, BSN, RHIA, RHIT, CCS, CPC, CIC, CCDS, or CDIP
• 1-year related experience in acute care inpatient nursing or inpatient coding or HIM
• Excellent critical thinking skills with the ability to quickly make decisive decisions from limited written and/or verbal information, excellent reading comprehension
• Excellent communication skills (written and verbally) and comfortable speaking in groups.
• Ability to plan and organize workflow in order to meet deadlines
• Must have strong computer skills including typing ability.
• Experience with computer programs (EXCEL, Word)
• Data entry
• Record review with ability to interpret clinical data
• Strong clinical knowledge
• Ability to establish cooperative working relationship with diverse groups and individuals, medical staff and other health care disciplines and interact with all levels of employees
• Ability to work flexible work schedules to accommodate provider rounding schedules and required medical staff presentations
• Ability to work with minimum supervision
• Organizational and administrative skills
• Function in a stressful environment
• Encourage and assist with team building
• Ability to maintain the confidentiality of sensitive information, both patient and employee
• Detail oriented
• Ability to work independently

Nice To Haves

• RN, CCS, CPC, RHIA, RHIT, or a combination thereof
• 3 years nursing, inpatient coding, or other HIM role in acute hospital setting
• Knowledge of diagnosis-related groups (DRG), prospective payment systems, and hospital quality performance initiative.
• Utilization review/case management experience
• CCDS (Certified Clinical Documentation Specialist) from ACDIS or CDIP (Certified Documentation Improvement Practitioner) from AHIMA preferred

Responsibilities

• Provides clinically based, concurrent and retrospective reviews of inpatient medical records.
• Identifies opportunities and ensures accuracy and completeness of clinical documentation used for measuring and reporting physician and hospital outcomes.
• Collaborates with inpatient care providers to ensure accurate, complete, compliant, concise, and consistent documentation that reflects the true clinical scenario of the patient’s encounter.
• Ensures documentation reflects the true Severity of Illness (SOI), Risk of Mortality (ROM), and intensity of services rendered to provide quality care and treatment to the patient.
• Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.

Benefits

• medical coverage
• dental coverage
• vision coverage
• paid time off
• tuition support
• matched retirement plans

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Education Level: Associate degree