Clinical Documentation Improvement Specialist

Type of Position:

Job Type:

Institution Name:

The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education research and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization focused on improving patient care and the lives of Arkansans.

UAMS offers amazing benefits and perks available for benefits eligible positions only:

• Health: Medical Dental and Vision plans available for qualifying staff and family
• Holiday Vacation and Sick Leave
• Education discount for staff and dependents (undergraduate only)
• Retirement: Up to 10 matched contribution from UAMS
• Basic Life Insurance up to $50000
• Career Training and Educational Opportunities
• Merchant Discounts
• Concierge prescription delivery on the main campus when using UAMS pharmacy

Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position please click theApply link/button.

The University of Arkansas is an equal opportunity institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of age race color national origin disability religion marital or parental status protected veteran status military service genetic information or sex (including pregnancy sexual orientation and gender identity). Federal law prohibits the University from discriminating on these bases. Questions or concerns about the application of Title IX which prohibits discrimination on the basis of sex may be sent to the Universitys Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights.

Persons must have proof of legal authority to work in the United States on the first day of employment.

All application information is subject to public disclosure under the Arkansas Freedom of Information Act.

Departments Website:

Summary of Job Duties:

Qualifications:

Minimum Qualifications:

• Registered Nurse (RN) with current license
• Certified Clinical Documentation Specialist (CCDS) within six months

Preferred Qualifications:

• RN; minimum of 5 years inpatient clinical experience in Emergency Critical Care or Medical/Surgical area plus two years of clinical documentation experience

Additional Information:

Additional Information:

• Applies extensive clinical knowledge to read and analyze health record documentation identifying all significant diagnoses treatment and procedures impacting acuity level and resources consumed throughout the current hospitalization; applies knowledge of disease processes surgical procedures UHDDS definitions and the CMS/NCHS ICD10 Official Coding Guidelines for Coding and Reporting to assign nonindexed terms to the appropriate class within the ICD10 coding classification system.
• Reviews all death medical records and works with Vizient calculator to ensure risk of mortality and severity of illness scores are correct.
• Reviews all admission types to the hospital to ensure severity is captured.
• Interacts directly with physicians nursing staff other patient caregivers coding staff and other members of the health care team to facilitate clarification of clinical documentation and transfer of knowledge related to accurate documentation coding and reimbursement practices; ensures that documentation is clear concise and written in diagnostic terms reflecting the highest level of specificity.
• Develops and facilitates education related to clinical documentation improvement coding guidelines and regulatory requirements to all members of the healthcare team through oneonone communication and classroom or large group presentations throughout the year as assigned.
• Other duties as assigned

Customer Service: Interacts with and assists the public in a professional and friendly manner as needed. Demonstrates effective communication skills; communicates accurate and complete information; maintains strict confidentiality when necessary. Demonstrates positive working relationships with coworkers management team and ancillary departments; follows the Core Concepts of Patient and Family Centered Care and the Basic Code of Conduct Guidelines. Assist internal and external stakeholders as needed with exceptional customer service.

Physical Requirements:

Stand Occasionally

Sit Continuously

Walk Occasionally

Bend crawl crouch kneel stoop or reach overhead Occasionally

Lift/Push/Pull/Carry Weight 10 lbs or less

Use hands to touch handle or feel Continuously

Talk Frequently

Hear Frequently

Taste or smell Never

Read concentrate think analytically Continuously

Physical Environment Inside office environment; inside medical facility environment

Noise Level Moderate

Visual Requirements (select all that apply) Near visual acuity

Hazards (select all that apply) None

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Salary Information:

Required Documents to Apply:

Special Instructions to Applicants: