RN - Clinical Documentation Specialist - Oncology (Remote)

University of Washington • Seattle, WA

2d • $126,000 - $172,272 • Remote

About The Position

UW Medical Center-Montlake is hiring a Registered Nurse Clinical Documentation Specialist focused on Oncology. This remote, full-time role reviews clinical documentation for completeness and quality and facilitates documentation updates through communication with physicians, practitioners, and medical records coding staff. The specialist helps ensure that patient conditions and treatments are appropriately documented to support reimbursement that reflects the acuity and services provided under a DRG-based payer methodology. The role also verifies clinical information used to measure and report patient-care, physician-practice, and medical-center outcomes, and provides ongoing education to the patient-care team about clinical documentation.

Requirements

• Current Washington State licensure to practice as a Registered Nurse.
• Bachelor's degree in Nursing.
• At least 6 years of inpatient Oncology nursing experience.
• 2 years of Clinical Documentation Improvement (CDI) experience.
• Effective communication skills.
• Strong critical-thinking and problem-solving skills.
• Equivalent education and/or experience may substitute for minimum qualifications except where legal requirements, such as licensure, certification, or registration, apply.

Nice To Haves

• CCDS and/or CDIP certification desired.

Responsibilities

• Perform initial and follow-up audits and investigations of medical records.
• Examine, analyze, and report on institutional practices and procedures for regulatory and policy compliance, operational efficiency, and the accuracy of reports and records.
• Consult with physicians, coding specialists, and others to clarify information, obtain documentation, present opportunities, and educate on appropriate DRG assignment based on severity of illness and supporting documentation.
• Educate providers on compliance in medical and clinical documentation, coding, reimbursement issues, and performance-improvement methodologies.
• Lead or participate in Oncology quality-assurance studies as assigned and assist with special projects as needed.
• Serve on or lead committees and task forces as appropriate.
• Review clinical documentation and facilitate modifications by communicating with physicians, practitioners, and medical records coding staff.
• Verify the accuracy and completeness of clinical information used to measure and report outcomes related to patient care, physician practice, and medical-center performance.
• Educate patient-care team members on clinical documentation on an ongoing basis.

What This Job Offers

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