Clinical Document Improvement Specialist

🕒 2 days ago

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The University of Kansas Health System

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1998

⚕️ Healthcare Insurance

📚 Education

🤝 Non-profit

Healthcare Insurance • Education • Non-profit

The University of Kansas Health System is a comprehensive healthcare provider that partners with the University of Kansas Medical Center to offer top-tier medical services and education. It is recognized for its excellence in patient care, research, and education, with services ranging from urgent care to specialized cancer treatment at its NCI-designated cancer center. As a nonprofit organization, it relies on donations to provide high-quality healthcare to the community. Additionally, it offers a variety of educational opportunities through residency programs and fellowships, and emphasizes the importance of wellness and holistic health management for patients and professionals alike.

📋 Description

• Review inpatient medical records for completeness and accuracy for severity of illness and risk of mortality. • Ensure effective communication with attending physicians and healthcare professionals. • Conduct concurrent reviews of clinical documentation in medical records. • Identify and record principal diagnoses, secondary diagnoses, and procedures. • Share findings with identified staff and serve as a resource to physicians regarding inpatient DRG assignment. • Educate staff regarding severity of illness and risk of mortality documentation. • Collaborate with the healthcare team to improve clinical documentation.

🎯 Requirements

• Associates Degree in Health Information Management, or a related field of study from an accredited college or university. • Certification in RHIT or RHIA along with CCDS or CDIP. • Nurses only must have an associate degree and 3 or more years of experience in an acute care setting. • All other clinical disciplines must have an associate degree in their respective fields of study from an accredited college or university. • Will also accept foreign medical graduate (MD) AND along with CDI certification of CCDS and/or CDIP in lieu of Kansas RN license. • 3 or more years of experience in Clinical Documentation, Case Management/Utilization Review, or Critical Care. • Licensed Registered Nurse (LRN) - Single State - State Board of Nursing OR LRN - Multi-State - State Board of Nursing OR Licensed in clinical field of study. • Experience in critical thinking, interpersonal relationships and technical skills.

🏖️ Benefits

• The health system is an equal employment opportunity employer. • Provides reasonable accommodations to qualified individuals with disabilities. • Employment with the health system is contingent upon agreeing to the health-system-dispute-resolution-program.