Clinical Documentation Integrity Registered Nurse, RN

🕒 May 19

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Tenet Healthcare

WebsiteLinkedInAll Job Openings

10,000+ employees

🧬 Biotechnology

🧘 Wellness

💰 $2G Post-IPO Debt on 2022-05

Healthcare • Biotechnology • Wellness

Tenet Healthcare is a leading healthcare services company that owns and operates hospitals, outpatient centers, and other healthcare facilities. With a focus on providing high-quality and accessible medical care to communities across the United States, Tenet Healthcare is committed to improving patient outcomes and enhancing the healthcare experience. They also offer innovative treatment options and invest in health technology to support their mission of delivering exceptional care.

📋 Description

• Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient • Completes initial medical records reviews of patient records within 24-48 hours of admission for a specified patient population • Conducts follow-up reviews of patients every 24-48 hours or as needed up through discharge • Formulate physician queries regarding missing, unclear, or conflicting health record documentation • Collaborates with providers, case managers, nursing staff and other ancillary staff regarding documentation • Communicates/Completes Clinical Documentation Integrity (CDI) activities and coding issues • Assists with Provider education, rounding and communication regarding open queries for resolution • Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD10-CM and PCS coding • Attends CDI Boot camp, CDI/coding trainings annually and quarterly

🎯 Requirements

• Preferred: Acute Care nursing and/or Provider relevant experience • Zero (0) to two (2) years CDI experience • Two (2) plus years’ nursing experience – Medical/Surgical/Intensive Care and/or Case/Utilization Review • Two (2) plus years’ Provider experience – Medical/Surgical/Intensive Care and/or Case/Utilization Review • Graduate from a Nursing program, BSN, or graduate program; OR • Graduate from Medical Doctor and/or Foreign Medical Doctor Program • Active state Registered Nurse license; OR • Graduate MD and/or FMD license • Preferred: CDIP or CCDS

🏖️ Benefits

• Medical, dental, vision, disability, life, and business travel insurance • Paid time off (vacation & sick leave) – min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked. • 401k with up to 6% employer match • 10 paid holidays per year • Health savings accounts, healthcare & dependent flexible spending accounts • Employee Assistance program, Employee discount program • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. • For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.