RN Clinical Documentation Specialist

AscensionCantonment, FL
$84,061 - $118,669Remote

About The Position

Ascension Sacred Heart is seeking an RN Clinical Documentation Specialist for their Clinical Integrity Documentation department in Pensacola, FL. This is a full-time, day shift position with a salary range of $84,060.91 - $118,668.99. Ascension is a leading nonprofit Catholic health system committed to reimagining healthcare. They offer an inclusive and supportive environment, recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer.

Requirements

  • Registered Nurse credentialed from the Florida Board of Nursing obtained prior to hire date or job transfer date required.
  • Licensed as a Registered Nurse in Florida required.
  • Credentialed from State Board of Nursing or current home state license for multi-state license recognition "Compact State" obtained prior to hire date or job transfer date required.
  • Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire.

Nice To Haves

  • 5+ years experience in Med/Surg or ICU
  • CDI Experience
  • CCDS certification preferred

Responsibilities

  • Complete admission reviews and assign a working Diagnosis Related Group.
  • Ensure the working DRG and other information are entered in the Clinical Documentation Improvement database.
  • Initiate and maintain extensive interactions with physicians and mid-level providers to address the need for more detailed information in the medical record.
  • Collaborate with healthcare professionals to ensure the severity of illness and level of services provided are accurately reflected in the medical record and to resolve physician queries and documentation issues prior to patient's discharge.
  • Maintain accurate records of review activities, ensuring reports and outcomes of CDI efforts are valid.

Benefits

  • Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
  • Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
  • Time to recharge: pro-rated paid time off (PTO) and holidays
  • Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
  • Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
  • Family support: parental leave, adoption assistance and family benefits
  • Other benefits: optional legal and pet insurance, transportation savings and more
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