Clinical Documentation Integrity Specialist – Inpatient

🕒 5 days ago

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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 to ensure completeness and accuracy for severity of illness and risk of mortality. • Ensure effective communication with healthcare staff to suggest additional documentation. • Work closely with HIM coding staff to confirm discharge diagnoses and co-morbidities are accurately reflected. • Conduct concurrent review of medical records and document findings on CDS worksheets. • Identify principal and secondary diagnoses, procedures, and quality indicators. • Clarify documentation as needed and facilitate accurate patient records. • Use monitoring tools to track program progress and share findings. • Educate staff on documentation improvement and facilitate compliance. • Engage with healthcare team to improve clinical documentation processes.

🎯 Requirements

• Associates Degree in Health Information Management or a related field from an accredited college or university. • Certification in RHIT or RHIA along with CCDS or CDIP. • For Nurses: Associate degree and 3 or more years of experience in an acute care setting. • All other clinical disciplines: Associate degree in respective fields of study from an accredited college or university. • Foreign medical graduate (MD) along with CDI certification of CCDS and/or CDIP in lieu of Kansas RN license is acceptable. • 3 or more years of experience in Clinical Documentation, Case Management/Utilization Review, or Critical Care. • Licensed Registered Nurse (LRN) - Single State or Multi-State - State Board of Nursing. • Must have certification of CCDS or CDIP or foreign medical graduate (MD) with CDI certification.

🏖️ Benefits

• The health system is an equal employment opportunity employer. • Provides reasonable accommodations to qualified individuals with disabilities.