Clinical Documentation Sr Analyst

Nebraska Medicine • Bellevue, NE

2d • Hybrid

About The Position

The Clinical Documentation Sr Analyst supports compliant documentation integrity through extensive review of medical records. The analyst concurrently interacts with clinicians, health information management (HIM) professionals, and nursing staff to facilitate complete and specific documentation for appropriate coding, core measures, and accurate representation of patients’ severity of illness.

The position is full-time and hybrid, with flexible day hours. Applicants must live in Nebraska or Iowa. Nebraska Medicine describes its workplace as collaborative and part of a leading academic health network, and offers educational support and career advancement opportunities.

Requirements

• At least two years of bedside experience in an inpatient acute care setting and/or recent work experience as a Clinical Documentation Improvement Specialist; alternatively, an RHIA, RHIT, or CCS credential with at least three years of coding and/or clinical documentation improvement work.
• Bachelor’s degree in nursing (BSN).
• Demonstrated critical-thinking, problem-solving, and deductive-reasoning skills.
• Successful completion of specialized training in advanced computer skills, including Microsoft Word, Excel, Outlook email, and use of an electronic medical record.
• Strong organizational, analytical, writing, and interpersonal skills, with the ability to work with diverse stakeholders and meet varied needs in a complex academic healthcare organization.
• Current Registered Nurse license in Nebraska or a current compact-state license.
• Must live in Nebraska or Iowa.

Nice To Haves

• Prior bedside experience in an inpatient acute care setting.
• Experience in quality, utilization review, case management, coding, or a related field.
• Team leadership experience.
• Master of Science in Nursing (MSN) degree.
• Clinical Documentation Improvement (CDI) certification.
• Understanding of coding guidelines and conventions.
• Understanding of Medicare Part A and Part B programs and their relationship to diagnosis-related group (DRG) alignment.
• Experience with typical office equipment such as a fax machine, copier, laser printer, AV equipment, scanners, and organization- or department-specific software.
• Basic Life Support (BLS) certification from an American Heart Association (AHA)-endorsed program; applicable to new hires starting January 1, 2023 or later.

Responsibilities

• Review medical records extensively to support compliant documentation integrity.
• Interact concurrently with clinicians, HIM professionals, and nursing staff to facilitate complete and specific documentation.
• Support documentation needed for appropriate coding, core measures, and accurate representation of patient severity of illness.

Benefits

• Up to $5,000 per year in tuition assistance.
• 35% discount at Clarkson College.
• Career advancement opportunities with covered educational costs.

What This Job Offers

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