Clinical Documentation Specialist 2 - RN
Under limited supervision, the Clinical Documentation Specialist is responsible for facilitating improvement of clinical documentation and coding process.
Essential Job Functions (typically up to 10):
Reviews clinical documentation and facilitates modifications as needed to ensure that documentation accurately reflects the reason for admission, intensity of service rendered, risk of mortality, severity of illness, and conditions present on admission for patients, in compliance with government and other regulations.
Obtains appropriate clinical documentation through extensive interaction with physicians and other staff to ensure documentation reflects the level of service rendered.
Participates in the development and delivery of education for providers and other staff.
Responsible for coordination of case reviews, data collection and entry, data analysis, report preparation, presentation of data and data sharing for process improvement initiatives.
Performs advanced and/or complex clinical reviews requiring independent decisions and extensive, diversified professional experience and knowledge.
Benchmarks and improves clinical documentation impacting quality measurement and the organization’s financial performance and reputation.
Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and health system outcomes.
Reconciles DRG discrepancies collaboratively with HIM team to ensure an accurate compilation of codes sent to fiscal intermediary.
Other duties and responsibilities as assigned.
(Minimum qualifications required for the job)
2 years relevant experience.
Current RN license in state of practice.
If you’re looking for a place where you can grow in your personal life, in your career, and in your community, St. Luke’s may be just the place for you. Our employees enjoy many benefits, some of the most popular are tuition reimbursement, hospital retirement contributions, and hospital-supported on-going training and education.
About St. Luke’s
A strong, talented staff is at the heart of St. Luke’s Health System. We are Idaho’s largest private employer with more than 13,500 employees and a medical staff of more than 1,800 physicians and advanced practice clinicians. Our employees are dedicated to impacting the lives of those in our community while pursuing a life-changing career at St. Luke’s. Our staff is the reason for our outstanding reputation as both a quality employer and superior healthcare organization. We’re proud of our people who deliver skilled, compassionate care every day, and are looking to add dedicated individuals who will continue in the same tradition of excellence.
With multiple locations in beautiful southern central Idaho and Oregon, our mild, four season climate means you can play outdoors year-round. Whether you prefer leisurely walks along the river or heart-pounding climbs up a sheer cliff - there is always something to do after work. An exciting mix of urban and outdoor life defines Idaho and Oregon culture, you can ski in the morning and watch a college sporting event at night. It is a great area to raise a family and forge lasting relationships. The cost of living is low, and quality of life is high.
#One of American’s Top 15 Health Systems - U.S.News & World Report, "America's Best Hospitals 2015-2016"
- St. Luke’s is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.