Clinical Documentation Spec(Rn)- Full Time Days

Advocate Health

1d • $38 - $57 • Hybrid

About The Position

The Clinical Documentation Specialist facilitates modifications to clinical documentation through extensive initial and concurrent interaction with physicians and other members of the healthcare team. The role supports appropriate documentation of clinical severity and risk of mortality for the level of services rendered to selected inpatient populations. It also supports timely, accurate, and complete clinical information used to measure and report physician and hospital outcomes, and provides ongoing education to members of the healthcare team.

This is a full-time, day-shift position working 40 hours per week in a hybrid arrangement: two days remotely and three days onsite. The position works both in the hospital and from home.

Requirements

• Graduate from an accredited school of nursing with a minimum of a BSN.
• At least five years of relevant inpatient acute care experience, including Critical Care, ICU, or ED experience.
• Current nursing license in the State of Illinois.
• Ability to prioritize work independently and respond to multiple simultaneous requests.
• Excellent communication skills, including verbal and written communication.
• Good problem-solving skills and critical-thinking skills.
• Basic computer skills.
• Effective observation, analytical, and critical-thinking skills.
• Ability to work in a changing environment and under stressful conditions or in difficult situations.
• Extensive knowledge and experience with the ICD-10 coding classification system and DRGs.
• Ability to recognize the needs and behaviors of specific age groups of patients treated.
• May be exposed to hazardous materials and life-threatening diseases.

Nice To Haves

• Clinical documentation improvement experience.
• Certification in clinical documentation improvement.

Responsibilities

• Improve the quality and completeness of clinical documentation by reviewing charts using clinical documentation guidelines based on accepted standards, evidence-based practice, and current regulatory requirements.
• Facilitate clinical documentation modifications through initial and concurrent interaction with physicians and other healthcare team members.
• Support appropriate documentation of clinical severity and risk of mortality for selected inpatient populations.
• Support timely, accurate, and complete clinical information used to measure and report physician and hospital outcomes.
• Provide ongoing education to members of the healthcare team on clinical documentation.

Benefits

• Paid time off programs.
• Medical, dental, vision, life, and short- and long-term disability benefits.
• Flexible Spending Accounts for eligible health care and dependent care expenses.
• Adoption assistance and paid parental leave.
• Defined contribution retirement plans with employer match and other financial wellness programs.
• Educational Assistance Program.
• Potential premium pay, including shift and on-call pay, based on the teammate's job.
• Incentive pay for select positions.
• Opportunity for annual increases based on performance.

What This Job Offers

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