Top 16 Clinical documentation improvement specialist Jobs in Tucson Az

Registered Nurse Clinical Documentation Integrity Specialist - Inpatient
Tucson Medical Center —Tucson, AZ
- Full-time
- Nursing
- RN License
- Inpatient
Emergency Medicine Billing Coding Specialist
Banner Health —Tucson, AZ
- $23.16 - $34.74 an hour
- Full-time
- Hybrid work
- Anatomy knowledge
- Mid-level
- Office
- Work from home
Claims Resolution Specialist
Tucson Orthopaedic Institute —Tucson, AZ
- $18 - $20 an hour
- Full-time
- Background check
- Customer service
- Research
- Disability insurance
- Health insurance
Quick Apply
Registered Nurse_ PRN Pre Op
Tucson Medical Center —Tucson, AZ
- Per diem
- Nursing
- RN License
- Hospital
10d
Registered Nurse RN Behavioral Health
Banner Health —Tucson, AZ
- Weekends as needed
- Nursing
- RN License
- BLS Certification
- Health insurance
5d
Registered Nurse RN Behavioral Health Geriatric Psych
Banner Health —Tucson, AZ
- 12 hour shift
- Nursing
- RN License
- BLS Certification
- Health insurance
Registered Nurse RN Neonatal ICU NICU
Banner Health —Tucson, AZ
- Full-time
- Nursing
- Surgery
- RN License
- Health insurance
Staff RN - ECMO Spec / FT, D/N
Children's Nebraska —United States
- Overtime
- Nursing
- RN License
- BLS Certification
- Flexible schedule
Staff RN - ECMO Spec / FT, nights
Children's Nebraska —United States
- Overtime
- Nursing
- RN License
- BLS Certification
- Flexible schedule

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Emergency Medicine Billing Coding Specialist
Banner Health —Tucson, AZ
High school diploma/GED or equivalent working knowledge and specialized formal training equivalent to the two year certification course in medical record…
4d

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Medical Scribe
Oak Street Health —Columbus, OH
Leveraging Oak Street's population health tools to support clinical documentation improvement. Qualified applicants with arrest or conviction records will be…
$17.00 - $28.46 an hour
Medical Scribe
Oak Street Health —Columbus, OH
Leveraging Oak Street's population health tools to support clinical documentation improvement. Qualified applicants with arrest or conviction records will be…
$17.00 - $28.46 an hour

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Registered Nurse Clinical Documentation Integrity Specialist - Inpatient

Tucson Medical Center -
Tucson, AZ

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Job Details

Full-time

Qualifications

Inpatient experience
RN License
Employee relationship building
Acute care experience
Stakeholder relationship building

Full Job Description

SUMMARY:

Provides concurrent review of the clinical documentation in the medical record; review the medical record with a clinical lens to identify any missing or understated diagnoses. Queries the medical staff when necessary, by written and/or verbal communication to obtain accurate and complete physician documentation that supports the patient condition(s) and treatment plan. Performs a thorough chart review to determine the appropriate principal diagnosis of the patient. Coordinates with coding/HIM/UR and other departments to achieve a record that reflects the acuity of the patient and level of care provided.

ESSENTIAL FUNCTIONS:

Conducts initial and follow-up concurrent reviews on inpatient admissions for opportunities to clarify documentation in the medical record for accurate reflection of the acuity of the patient and justifying the level of care. Documents findings in workflow tools, noting all key information used in the tracking process. Review medical record concurrently for documentation not yet in the record but supported by clinical indicators.
Uses relationship building and strong communication skills to develop a rapport with providers to clarify information in the medical record. Uses appropriate querying templates to get needed documentation. Conducts follow-up on unanswered queries during the patient stay to obtain a response to unanswered queries.
Provides education to physicians on the importance of complete documentation and key documentation concepts during regular physician meetings or on individually with physicians.
Use data provided by managers, directors, and consulting team to actions to identify what is working well and areas of focus.
Adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication.
Adheres to TMC organizational and department-specific safety, confidentiality, values, policies and standards.
Performs related duties as assigned.

MINIMUM QUALIFICATIONS

EDUCATION: Graduation from a qualified, nationally-accredited nursing program.

EXPERIENCE: Three (3) years of RN clinical experience in an acute care setting. CDI experience preferred.

LICENSURE OR CERTIFICATION: Current RN licensure permitting work in state of Arizona. CCDS (Certified Clinical Documentation Specialist) from ACDIS or CDIP (Certified Documentation Improvement Practitioner) from AHIMA preferred.

KNOWLEDGE, SKILLS AND ABILITIES:

Extensive clinical knowledge and understanding of pathology/physiology; best demonstrated by clinical experience in hospital setting.
Strong critical thinking skills and the ability to review the medical record to identify information not yet documented but supported by clinical indicators or clinical clues.
Knowledge of age-specific patient needs and the elements of disease processes and related procedures.
Excellent written and verbal communication skills; ability to write concisely and effectively when communicating with providers.
Assertive personality traits to facilitate ongoing physician communication.
Working knowledge of inpatient admission criteria.
Ability to work independently in a time-oriented environment.
Ability to stand and walk in the performance of job responsibilities.
Demonstrates knowledge of the importance of, and makes an effort to capture, all appropriate secondary diagnoses for quality rating purposes.

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Refine Your Search

clinical documentation improvement specialist jobs in tucson az

Registered Nurse Clinical Documentation Integrity Specialist - Inpatient

Emergency Medicine Billing Coding Specialist

Claims Resolution Specialist

Registered Nurse_ PRN Pre Op

Registered Nurse RN Behavioral Health

Registered Nurse RN Behavioral Health Geriatric Psych

Registered Nurse RN Neonatal ICU NICU

Staff RN - ECMO Spec / FT, D/N

Staff RN - ECMO Spec / FT, nights

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