RN - Registered Nurse - Clinical Documentation Improvement Specialist

Geisinger • Wilkes-Barre, PA

1d • Onsite

About The Position

The Clinical Documentation Improvement Program (CDI) is designed to improve the physician’s documentation in the patient’s medical record, supporting the appropriate severity of illness, expected risk of mortality and complexity of care of the patient. The role of the Clinical Documentation Improvement Specialist (CDIS) is to assist the providers with accurately identifying and documenting the healthcare services provided to the patient. This is accomplished with the recognition of complete and accurate diagnoses, procedures performed, and the treatment provided. The core of the program uses highly trained staff members to perform a concurrent inpatient review of the record. This allows the record to be coded post discharge in a timely and accurate manner. A highly successful CDI program is based on a highly interactive process between physicians, CDIS staff and other support services. The program does not challenge the provider’s medical judgement, but rather provides a methodology in which to clarify existing documentation. This is a work on site position located in Wilkes-Barre, Pennsylvania.

Requirements

• Minimum of 3 years RN work experience is required.
• Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania
• Graduate from Specialty Training Program-Nursing (Required)
• Previous clinical skills, including an understanding of Anatomy and Physiology in order to appropriately discuss with the physician such issues as the underlying etiology, principal diagnosis, diagnostic studies, treatment modalities, to name a few.

Nice To Haves

• BSN is strongly preferred.
• Bachelor's Degree-Nursing (Preferred)

Responsibilities

• Reviews inpatient medical records within 24-48 hours of admission for a specified patient population to evaluate documentation to assign the principal diagnosis, relevant secondary diagnoses, and procedures for accurate DRG assignment, risk of mortality, severity of illness; and initiate documentation of the review.
• Pursues a subsequent review of records every 3 days to support and assign a working DRG assignment upon discharge.
• Formulates queries when it is determined there is missing documentation, conflicting documentation or unclear documentation.
• Provides on-going education to physicians and essential healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the patient's record.
• Collaborates with nursing staff, nutrition, pharmacist, along with the physicians on documentation and to resolve queries prior to the patient's discharge.
• Consistently meets established productivity targets for record review.
• Identifies strategies for sustained work process changes that facilitate complete, accurate clinical documentation.
• Participates in the analysis and trending of statistical data for specified patient population; identifies opportunity for improvement.
• Promotes a partnership with the inpatient coding professionals to ensure the accuracy of principal diagnosis, procedures and completeness of supporting documentation to determine the working and final DRG, severity of illness and risk of mortality.
• Acts as a resource person for the interdisciplinary team in order to promote collaboration and coordination of patient care considering age specific, developmental, cultural, and spiritual needs of the patient.
• Acts as a liaison between the clinical and coding functions.
• Provides education to the medical staff and other clinical professional on documentation relevant to the Revenue Management processes and Discharge Not Final Billed reduction.
• Provides daily interactions with physicians and clinical professionals regarding documentation clarification and optimization.
• Analyze the clinical information, using the documentation as the primary driver for overall System Case Mix Index.

Benefits

• Health, dental, and vision insurance
• Three medical plan choices, including expanded network options
• Pre-tax savings plans (FSA & HSA)
• Company-paid life, short-term, and long-term disability insurance
• 401(k) with automatic Geisinger contributions
• Generous PTO that accrues quickly
• Up to $5,000 in tuition reimbursement per calendar year
• MyHealth Rewards wellness program with financial incentives
• Family-friendly support: adoption/fertility assistance, parental leave, military leave, and Care.com membership
• Employee Assistance Program (EAP): mental health, legal guidance, childcare/eldercare referrals, and more
• Voluntary benefits: accident, critical illness, hospital indemnity, identity theft protection, pet insurance, and more
• healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.
• healthcare benefits for full time and part time positions from day one, including vision, dental and benefits for domestic partners.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level