RN - Outpatient Clinical Documentation

UW Health • Middleton, WI

449d • Remote

About The Position

The Outpatient Clinical Documentation Specialist is a remote Registered Nurse position focused on ensuring accurate outpatient clinic documentation, including HCC capture. The role involves advising clinicians, serving as a liaison between clinicians and coders, and conducting reviews of medical records to enhance patient care and ensure correct reimbursement. This position is integral to maintaining high-quality outcomes and compliance in documentation practices.

Requirements

• Associate's Degree in Nursing Required
• Bachelor's Degree in Nursing Preferred
• 3 years of nursing, case management, utilization review or quality resources experience in an acute care or ambulatory setting Required
• 3 years of Clinical Documentation Integrity experience highly desirable Preferred
• 5 years of nursing, case management, utilization review, or quality resources experience in an acute care setting Preferred
• Registration as a professional nurse in the State of Wisconsin Upon Hire Required
• Certified Clinical Documentation Specialist Preferred

Responsibilities

• Advise clinicians regarding complete and accurate outpatient/clinic documentation including accurate HCC capture.
• Function as a liaison between clinicians and coders.
• Provide expert information regarding the impact of documentation on patient care and quality outcomes measures.
• Conduct pre and post visit reviews of outpatient/clinic medical records, seeking clarification of documentation.

Benefits

• Health and dental insurance
• Paid time off
• Retirement plans
• Acuity based staffing ratios for optimal safety
• Strong shared governance structure
• Options for a variety of schedules and shifts
• Access to UW Health's Wellness Options at Work
• Tuition benefits eligibility

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Educational Services
• Education Level: Associate degree