Registered Nurse, Clinical Documentation Integrity Specialist

🔥 0 minutes ago

⛰️ Colorado – Remote

⛰️ Colorado – Remote

💵 $78k - $119k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥📝 Medical Writer

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DaVita Kidney Care

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1994

🏥 Healthcare

⚕️ Healthcare Insurance

💰 Post-IPO Debt on 2021-02

Healthcare • Healthcare Insurance

DaVita Kidney Care is a leading healthcare company that provides dialysis and related treatments for patients with kidney disease. Committed to improving the quality of life for its patients, DaVita focuses on offering integrated kidney care and supporting its diverse team of healthcare professionals, including nurses, dietitians, social workers, and patient care technicians. The company emphasizes a strong culture, career development, and comprehensive benefits to create an inclusive and supportive work environment for its employees.

📋 Description

• Perform clinical chart reviews to ensure documentation accuracy using established clinical criteria • Evaluate how provider documentation, lab results, diagnostic information, and treatment plans translate into coded data • Analyze and interpret clinical data to identify documentation gaps, inconsistencies, and improvement opportunities • Query providers using a concurrent query process following ACDIS/AHIMA Guidelines for Compliant Query Writing • Communicate with providers and healthcare team members to clarify information or obtain additional documentation • Work with clinicians to improve documentation quality and completeness through queries and provider education • Collaborate with team members to promote accurate and consistent clinical review results • Meet accuracy and productivity metrics supporting departmental goals • Communicate documentation issues and trends to DaVita leaders • Participate in scheduled department meetings • Conduct individual and large-group educational sessions for clinicians, medical coders, and other staff • Partner with data analytics, coding, compliance, and education departments on onboarding and ongoing education for IKC APPs and partner providers regarding Medicare risk-adjustment documentation requirements • Present in-person training as needed while working fully remotely • Travel 2–4 times per year for on-site meetings • Support leadership with execution of the department’s strategic goals

🎯 Requirements

• Associate's degree with a current active clinical license (RN) (required) • CCDS-O or CDIP (required or must be obtained within six months of hire) • CRC (required or must be obtained within one year of hire) • 5+ years of clinical experience as a Registered Nurse (adult-geriatric or family) (preferred) • 3+ years of clinical documentation improvement, coding, or equivalent experience (required) • 1+ year of experience working with advanced practice providers and other clinical and non-clinical staff (required) • Solid clinical background in evidence-based medicine, including chronic disease management and prevention • Experience in ICD-10 coding, documentation requirements, and risk adjustment • Knowledge of compliant query writing/process • Ability to perform comprehensive chart reviews of 20–30 medical records daily • Technical experience using EMR systems • Proficiency in MS Excel, Outlook, Teams, PowerPoint, and Word • Ability to travel for on-site meetings 2–4 times per year • Expert-level knowledge of Medicare risk adjustment, documentation, and coding requirements • 2+ years of experience providing risk adjustment education or management • 4+ years of experience developing educational content for clinical professionals • Associate's degree in nursing required • Comfortable presenting via Teams or in person • Strong technical skills, including Excel, Word, PowerPoint, and Outlook • Coding certification from AAPC or AHIMA, or additional coursework/experience in coding and risk adjustment, including CPC, CRC, CCDS-O, or CDIP • Expert experience working with Medicare Advantage programs and CMS Risk Adjustment model • Previous work experience in clinical documentation review or a clinical quality program • Experience developing and delivering clinical education and training • Current active RN clinical license required

🏖️ Benefits

• Medical, dental, and vision coverage • 401(k) match • Paid time off • PTO cash out • Family resources • EAP counseling sessions • Access to Headspace® • Backup child and elder care • Maternity/paternity leave • Professional development programs • On-demand virtual leadership and development courses through DaVita’s StarLearning platform • Competitive total rewards package • Healthcare coverage