Clinical Documentation Specialist, Clinician
Clinical Documentation Specialist, Clinician
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Job Description
We are so glad you are interested in joining Sutter Health!
Organization:
SHSOSutter Health System OfficeValleyPosition Overview:
Conducts concurrent and retrospective reviews of patient medical records to evaluate the accuracy and completeness of clinical documentation ensuring notes reflect the severity of patients illness and quality of care. Interacts thoughtfully and effectively with physicians patient care team and ancillary departments to gather and clarify medical record documentation. Identifies opportunities for improvement to ensure understanding of documentation requirements optimize reimbursement for the level of service rendered and enhance the measurement and reporting of outcomes.Job Description:
EDUCATION:
- Graduate of an accredited school of nursing OR Foreign trained physician
CERTIFICATION & LICENSURE:
- RNRegistered Nurse of California OR Foreign trained physician
TYPICAL EXPERIENCE:
- 5 years recent relevant experience.
SKILLS AND KNOWLEDGE:
- Clinical knowledge of diagnoses severity of illness risk of mortality comorbidities and complications.
- Knowledge of agespecific needs and the elements of disease processes and related procedures.
- Knowledge of current coding classification and reimbursement guidelines and regulations.
- Critical thinking with the ability to analyze and interpret medical record/clinical documentation and formulate appropriate physician queries.
- Ability to define issues collect data establish facts and draw valid conclusions.
- Demonstrates a proactive approach in identifying and addressing issues and concerns.
- Collaboration skills to facilitate open sharing of information and cooperation with various stakeholders to problem solve and achieve desired results/outcome.
- Displays a customer service focus in all decisions and actions.
- Ability to communicate through verbal and written means and to present information to a variety of audiences.
- Ability to create and translate data into reports and presentations for appropriate audience.
- Organization skills to effectively manage and/or reprioritize activities and projects to meet deadlines while maintaining a high degree of responsiveness.
- Ability to interact and maintain effective working relationships with those contacted in the performance of required duties.
- Demonstrates respect for cultural and linguistic differences and promotes an inclusive work environment.
- Demonstrates initiative in providing feedback/input to improve workflow/processes.
- Ability to work effectively in a dynamic and fastpaced environment with changing business priorities.
- Ability to maintain and work discreetly with confidential information.
- Ability to use essential applications and/or databases associated with the roles duties and responsibilities.
Job Shift:
DaysSchedule:
Full TimeShift Hours:
8Days of the Week:
Monday FridayWeekend Requirements:
NoneBenefits:
YesUnions:
NoPosition Status:
NonExemptWeekly Hours:
40Employee Status:
RegularSutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $79.32 to $103.87 / hour. New Jersey Washington Pay Range is $79.32 to $103.87 / hour. Colorado Florida Georgia Illinois Michigan Minnesota Nevada North Carolina Ohio Oregon Pennsylvania Texas Virginia Pay Range is $41.00 to $53.83 / hour. Arizona Arkansas Idaho Louisiana Missouri Montana South Carolina Tennessee Utah Pay Range is $37.37 to $48.94 / hour.The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidates experience education skills licensure and certifications department equity training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
