RN CLINICAL DOCUMENTATION INTEGRITY (FULL-TIME, REMOTE)

Req #: 234382

Department: UW MEDICAL CENTER - CLINICAL DOCUMENTATION

Posting Date: 06/17/2024

Closing Info

Open Until Filled

Salary: $9,000 - $13,000 per month

Shift: First Shift

Notes

As an employee you will enjoy generous benefits and work/life programs. For detailed information on Benefits for this position, click here. (~~~ )

UW MEDICAL CENTER has an outstanding opportunity for an RN Clinical Documentation Specialist - Oncology. WORK SCHEDULE Full-time day shift. The work is remote.

POSITION HIGHLIGHTS The Clinical Documentation Specialist, focusing on oncology patients, reviews clinical documentation, makes judgements regarding the completeness and quality of that documentation, and facilitates modifications to clinical documentation through communication with physicians, practitioners, and medical records coding staff.

DEPARTMENT DESCRIPTION
The Clinical Documentation Integrity Program performs concurrent review of inpatient medical records to ensure provider documentation accurately reflects patient severity of illness, acuity of care needs, risk of mortality and the quality of treatment provided. Team members also serve on various multidisciplinary committees promoting quality improvement and patient safety initiatives.

PRIMARY JOB RESPONSIBILITIES

• Performs initial and follow up audit and investigation of the medical record, for examining, analyzing and reporting on institutional practices and procedures.

• Confers with physician, coding specialists and others to clarify information, obtain needed documentation, present opportunities and educate for appropriate DRG based on the severity of illness, ensure appropriate DRG and completeness of supporting documentation.

• Educates providers regarding compliance in medical/clinical documentation, coding and reimbursement issues, and performance improvement methodologies.

• Leads or participates in oncology QA studies as assigned and assists with special projects as needed. REQUIREMENTS Please apply only if you meet the listed requirements below.

• A minimum of 2 years in a clinical documentation improvement position.

• Minimum of 6 years of recent acute inpatient hospital nursing experience with in-depth knowledge of medical and surgical care of oncology patients.

• Active license to practice as a registered nurse in the State of Washington required by start date. ABOUT UW MEDICAL CENTER UW Medical Center is an acute care academic medical center located in Seattle with two campuses: Montlake and Northwest. As the No. 1 hospital in Seattle and Washington State since 2012 (U.S. News & World Report) and nationally ranked in seven specialties, UW Medical Center prides itself on compassionate patient care as well as its pioneering medical advances. Excellence. Exploration. Education. (~~~) Become part of our team. Join our mission to make life healthier for everyone in our community. ABOUT UW MEDICINE - WHERE YOUR IMPACT GOES FURTHER UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine's mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow's physicians, scientists and other health professionals.All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. Find your place at Washington's only integrated health system devoted to improving the health of all people. (~~~) Join our mission to make life healthier for everyone in our community.

University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.