Clinical Documentation Sr Analyst

The Nebraska Medical Center • Bellevue, NE

1d • Hybrid

About The Position

Support compliant documentation integrity through extensive medical-record review. Concurrently interact with clinicians, health information management (HIM) professionals, and nursing staff to facilitate complete and specific documentation necessary for appropriate coding, core measures, and accurate representation of patients’ severity of illness. This is a full-time, hybrid role for candidates who live in Nebraska or Iowa, with flexible daytime hours.

Requirements

• 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).
• Successful use of 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.
• Outstanding organizational, analytical, writing, and interpersonal skills, with the ability to work with diverse stakeholders to meet varied needs in a complex academic healthcare organization.
• Current Registered Nurse license in Nebraska or a current compact-state license.

Nice To Haves

• Prior bedside experience in an inpatient acute-care setting.
• Prior 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 and organization- and department-specific software.
• Basic Life Support (BLS) certification from an American Heart Association (AHA)-endorsed program (required for new hires starting January 1, 2023 or later).

Responsibilities

• Review records extensively to support compliant documentation integrity.
• Interact concurrently with clinicians, HIM professionals, and nursing staff to facilitate complete and specific documentation.
• Support 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