What are the responsibilities and job description for the RN - Clinical Documentation Specialist | Avera Heart Hospital position at Avera Health?
Location : Sioux Falls, SD
Worker Type : Regular
Work Shift :
Day Shift (United States of America)
Avera Heart Hospital, isn't just a place to work, it's a family. Our 650 employees are what make the difference in our care and why we are one of the only few hospitals out of 4,000 nationwide to achieve a double 5-star rating from the Centers for Medicare and Medicaid (CMS). Be apart of something great!
Position Highlights
Position Summary :
The Clinical Documentation Improvement Specialist (CDIS) reviews inpatient medical records while patients are still in-house (concurrent review) for proper documentation as it relates to revenue cycle elements (i.e. DRG, Length of Stay ,Severity of Illness, etc). The Clinical Documentation Improvement Specialist (CDIS) collaborates with clinicians, physicians and HIM coding staff to ensure timely and accurate documentation and provides training and education as needed. The CDIS role is complex and requires expert knowledge of clinical care and applicable coding guidelines, as well as an ability to communicate effectively with the clinical team.
Work Schedule :
Forty hours per week, Monday through Friday. The hours per day may vary in order to accommodate the census needs of the facility.
Education / Experience :
- Graduate from a CCNE or NLN accredited nursing program is required. Graduate from an approved nursing program is acceptable.
- Bachelor's degree in nursing preferred.
- Four years related inpatient clinical experience preferred. Knowledge of hospital revenue cycle and the electronic health record strongly preferred.
- Ability to work independently, self-motivate, and adapt to the changing healthcare arena.
- Excellent verbal and written communication skills, analytical thinking, and problem solving with strong attention to detail.
- Proficiency in computer use, including database and spreadsheet analysis, presentation programs, word processing, and Internet search preferred.
Licensure / Certification :
