St. Luke’s Health System in Boise, ID is seeking a Clinical Documentation Specialist 2 to join our Medicaid Clinical Documentation Integrity Services team.
Under limited supervision, the Clinical Documentation Specialist is responsible for facilitating improvement of clinical documentation and coding process.
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.
2 years relevant experience.
Current RN license in state of practice.
Why St. Luke's:
A strong, talented staff is at the heart of St. Luke’s Health System. We are the state’s largest employer with more than 15,000 employees and a medical staff of more than 1,800 physicians and advanced practice providers. We’re proud of our people who deliver skilled, compassionate care every day, and are looking to add dedicated individuals who will continue this same tradition of excellence.
- 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.