RN Clinical Documentation Informaticist

Job not on LinkedIn

🔥 7 minutes ago

🏈 Alabama, Arizona, +12 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌪️ Kansas – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🚗 Michigan – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥📝 Medical Writer

🦅 H1B Visa Sponsor

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👻 Ghost score 10%

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Northern Arizona Healthcare

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1936

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

Northern Arizona Healthcare is a comprehensive healthcare organization dedicated to improving health and healing people in the community. It offers a range of services including emergency care, specialty care, and surgical programs, such as a robust bariatric surgery initiative. The organization also features primary care clinics, health education programs, and community involvement initiatives to promote overall wellness and health awareness.

📋 Description

• Facilitate complete and comprehensive clinical documentation reflecting clinical treatment, diagnosis, severity of illness, and risk of mortality • Work with a multidisciplinary team to improve clinical documentation • Apply knowledge of complications, comorbidities, severity of illness, risk of mortality, case mix, secondary diagnoses, and procedures' impact on DRG • Review assigned cases and perform documentation audits for consistency and compliance with standards • Communicate with physicians to clarify information, obtain documentation, present opportunities, and educate on appropriate MS-DRG assignment • Confer with HIM coders to ensure appropriate MS-DRG assignment and complete supporting documentation • Confer with the Physician Advisor as needed • Conduct concurrent and retrospective reviews of assigned patients • Identify and record principal diagnoses, secondary diagnoses, complications/comorbidities, and procedures • Identify opportunities to improve documentation processes • Maintain accurate tracking database data, identify trends and issues, and develop action plans • Report safety-related incidents, attend safety training, and monitor the work environment for safety issues • Stay current with applicable state and federal regulations and company policies

🎯 Requirements

• Associate's degree with RN, RHIA/RHIT, or bachelor's degree with experience/certification in Coding/CDI — required • BSN preferred • CCDS required after 2 years of experience • Current RN license required; license does not have to be Arizona • 3–5 years of clinical documentation specialist, coding, or utilization review experience preferred • Supervisory, education, or leadership experience preferred • Understanding of computers and competence using computers and basic software programs • Ability to comply with Arizona State Board of Nursing Laws and Regulations • Ability to maintain current certifications and/or licenses • Ability to complete mandatory modules and required job-specific training within specified time frames

🏖️ Benefits

• Regular full-time employment (40 hours) • Remote work available in eligible states • Company-provided mandatory and job-specific training