RN Specialist, Clinical Documentation - MUST Reside in Colorado

Denver Health and Hospital Authority•Denver, CO

5d•Remote

About The Position

We are recruiting for a mission-driven RN Specialist, Clinical Documentation - MUST Reside in Colorado to join our team! We're with you for life’s journey. At Denver Health, purpose isn’t just something we believe in—it’s something we live every day, for life’s journey. Our Values Respect | Belonging | Accountability | Transparency Department REVENUE INTEGRITY Job Summary Under general supervision performs concurrent and retrospective reviews as requested by the Clinical Documentation Integrity Manager or Director. Responsible for selected assignments based on internal or external department requests. Responsible for educating providers regarding documentation specificity, accuracy, compliance and are permitted to query physicians as deemed necessary. Collaborates with Coding, Health Information Management (HIM), Patient Safety and Quality, Enterprise Compliance Services and other departments to promote the common goal of obtaining accurate documentation in the patient's record. Must participate in continuous education on ICD-10, clinical medicine, Center of Medicare and Medicaid (CMS) and other billing carriers, as well as coding guidelines and policies.

Requirements

Associate's Degree Required
Six years of experience as a nurse in a hospital environment Required
Three of the six years with the appropriate level of experience in one or a combination of the following medical documentation related function: clinical coding, case management, DRG coordination, physician education, Medicaid/Medicare reimbursement. Required
RN-Registered Nurse - DORA - Department of Regulatory Agencies Required
Must be able to demonstrate knowledge of the pathophysiology of the disease process.
Must be able to demonstrate clinical expertise in areas of urgent/emergent, medical/surgical, obstetrical, pediatric, and ambulatory care.
Must be able to communicate and interact tactfully with physicians and other professionals by expressing ideas clearly and concisely and addressing audiences effectively.
Ability to read and interpret professional journals, financial reports, and legal documents as necessary.
Ability to define problems collects and summarizes data, establish facts and draw conclusions.
Possesses knowledge of clinical documentation and coding concepts, DRG assignments, Inpatient Prospective Payment System (IPPS) and CMS rules and regulations.
Must also be able to demonstrate knowledge including but not limited to, value-based purchasing, bundled payments, accountable care organizations and readmission reduction program.
Microsoft Office Excel and SharePoint
Variety of documentation and coding programs.

Responsibilities

Concurrent and/or retrospective review of designated inpatient, outpatient, and ambulatory patient records to assess for accuracy, specificity, and compliance of provider documentation. (20%)
Tracking audits performed and audit results obtained in order to provide meaningful data to key stakeholders. (20%)
Educating providers regarding documentation accuracy, specificity, and compliance with rules and regulations. (20%)
Providing pertinent feedback to providers on audit results as necessary. (20%)
Working collaboratively with Coding, Health Information Management (HIM), Patient Safety and Quality, Enterprise Compliance Services, and other departments to promote the common goal of obtaining accurate documentation in the patient record. (20%)

Benefits

Generous paid time off
Fully paid parental leave
Exceptional retirement contributions
Comprehensive health coverage
Nationally recognized well-being programs
Tuition assistance
Career advancement pathways
Professional development
Loan forgiveness eligibility
Employer contributions
Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
100% paid parental leave up to 6 weeks
Immediate eligibility for retirement plans with employer contribution up to 9.5%
Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
Free RTD EcoPass (public transportation)
Childcare discount programs & exclusive perks on large brands, travel, and more
Tuition reimbursement & assistance
Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer