1 RN TEAM LEAD - CLINICAL DOC INTEGRITY Job in Prince Frederick, MD

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RN TEAM LEAD - CLINICAL DOC INTEGRITY

Calvert Health System

Prince Frederick, MD | Full Time

$106k-131k (estimate)

10 Months Ago

RN TEAM LEAD - CLINICAL DOC INTEGRITY

Calvert Health System Prince Frederick, MD

$106k-131k (estimate)

Full Time 10 Months Ago

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Calvert Health System is Hiring a RN TEAM LEAD - CLINICAL DOC INTEGRITY Near Prince Frederick, MD

JOB DESCRIPTION DETAILS
- Job Summary:
  - Demonstrates excellent problem-solving, clinical knowledge, and coding knowledge. Facilitates the overall quality, completeness, and accuracy of clinical documentation in patient medical records on a concurrent basis. Works collaboratively with providers, case managers, coders, and other health care team members. As part of a multidisciplinary team, ensures that clinical information in the medical record is present and accurate so that the appropriate clinical severity is captured for the level of service rendered. Serves as a resource and provides guidance, support, education, and training on clinical documentation guidelines. Supports departmental and organizational goals to achieve clinical and operational excellence in relation to Clinical Documentation Improvement efforts.
- Education:
  - Position requires a Bachelor’s Degree in Healthcare or Nursing. Master’s degree in Health Administration or other related master’s degree is preferred but not required.
- Registration/Certification/Licensure:
  - Compact state Registered Nurse (RN) required. Certified Clinical Documentation Specialist (CCDS) or Clinical Documentation Improvement Specialist (CDIS) preferred.
- Experience:
  - Minimum of 5 years’ experience in a acute care hospital clinical setting required, 3 years of Clinical Documentation Improvement experience preferred. Utilization Review and / or Case Management experience preferred but not required.
- Other Requirements:
  - Maintains unit-specific and hospital competencies, mandatory learning, and any clinical certifications required in accordance with the Staff Education and Training policy GA-057 and/or any other department requirements.
  - Intermediate skill level on the computer: Office Products including Word, Excel, and PowerPoint.
  - Demonstrates skills in planning, organizing, and managing multiple functions and complex processes.
  - Maintains a fast pace, coordinates and is able to multi-task process of requests, and acknowledgement of data and correspondence.
  - Must be able to identify and correct weaknesses in the process and alert leadership in the event of negative results/outcomes.
  - Requires understanding of many complex and varying guides, systems, regulations, and tools.
  - Utilizes critical thinking skills to manage an ever evolving process that includes financial, clinical and medical/legal components.