RN Specialist, Clinical Documentation MUST Reside in Colorado

We are recruiting for a mission-driven RN Specialist Clinical Documentation - MUST Reside in Colorado to join our team!

Were with you for lifes journey. At Denver Health purpose isnt just something we believe inits something we live every day for lifes journey.

Our Values

Respect Belonging Accountability Transparency

Department

REVENUE INTEGRITY

Job Summary

Under general supervision performs concurrent and retrospective reviews as requested by the Clinical Documentation Integrity Manager or Director. Responsible for selected assignments based on internal or external department requests. Responsible for educating providers regarding documentation specificity accuracy compliance and are permitted to query physicians as deemed necessary. Collaborates with Coding Health Information Management (HIM) Patient Safety and Quality Enterprise Compliance Services and other departments to promote the common goal of obtaining accurate documentation in the patients record. Must participate in continuous education on ICD-10 clinical medicine Center of Medicare and Medicaid (CMS) and other billing carriers as well as coding guidelines and policies.

Essential Functions:

• Concurrent and/or retrospective review of designated inpatient outpatient and ambulatory patient records to assess for accuracy specificity and compliance of provider documentation. (20%)
• Tracking audits performed and audit results obtained in order to provide meaningful data to key stakeholders. (20%)
• Educating providers regarding documentation accuracy specificity and compliance with rules and regulations. (20%)
• Providing pertinent feedback to providers on audit results as necessary. (20%)
• Working collaboratively with Coding Health Information Management (HIM) Patient Safety and Quality Enterprise Compliance Services and other departments to promote the common goal of obtaining accurate documentation in the patient record. (20%)

Education:

• Associates Degree Required

Work Experience:

• 4-6 years Six years of experience as a nurse in a hospital environment Required and
• 4-6 years Three of the six years with the appropriate level of experience in one or a combination of the following medical documentation related function: clinical coding case management DRG coordination physician education Medicaid/Medicare reimbursement. Required

Licenses:

• RN-Registered Nurse - DORA - Department of Regulatory Agencies Required

Knowledge Skills and Abilities:

• Must be able to demonstrate knowledge of the pathophysiology of the disease process.
• Must be able to demonstrate clinical expertise in areas of urgent/emergent medical/surgical obstetrical pediatric and ambulatory care.
• Must be able to communicate and interact tactfully with physicians and other professionals by expressing ideas clearly and concisely and addressing audiences effectively.
• Ability to read and interpret professional journals financial reports and legal documents as necessary.
• Ability to define problems collects and summarizes data establish facts and draw conclusions.
• Possesses knowledge of clinical documentation and coding concepts DRG assignments Inpatient Prospective Payment System (IPPS) and CMS rules and regulations.
• Must also be able to demonstrate knowledge including but not limited to value-based purchasing bundled payments accountable care organizations and readmission reduction program.
• Microsoft Office Excel and SharePoint
• Variety of documentation and coding programs.

Shift

Work Type

Regular

Salary

$82500.00 - $127900.00 / yr

Benefits

At Denver Health we take care of the people who take care of our community. Our benefits are built to support your life your family and your future with generous paid time off fully paid parental leave exceptional retirement contributions comprehensive health coverage and nationally recognized well-being programs. We invest in your growth through tuition assistance career advancement pathways and professional development while also offering meaningful financial advantages through loan forgiveness eligibility and employer contributions. When you join Denver Health youre joining a mission-driven organization that invests in you.

Here is a small list of our benefit programs:

• Paid time off starting at 28 days per year inclusive of vacation personal/sick and 7 Holidays

• 100% paid parental leave up to 6 weeks

• Immediate eligibility for retirement plans with employer contribution up to 9.5%

• Generous medical dental vision plans in addition to employer paid disability and life insurance.

• Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center

• Free RTD EcoPass (public transportation)

• Childcare discount programs & exclusive perks on large brands travel and more

• Tuition reimbursement & assistance

• Education coaching and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways

• Professional clinical advancement program & shared governance

• Public Service Loan Forgiveness (PSLF) eligible employer free student loan coaching and assistance navigating the PSLF program

• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

About Denver Health

Denver Health is an integrated high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center a 555-bed acute care medical center Denvers 911 emergency medical response system 10 family health centers 19 school-based health centers Rocky Mountain Poison & Drug Safety the Public Health Institute at Denver Health Denver Health Medical Plan and Denver Health Foundation.

As Colorados primary and essential safety-net health care system Denver Health is a mission-driven organization that has provided millions in uncompensated care for the uninsured each year.

Located near downtown Denver Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

Denver Health is an equal opportunity employer (EOE). We value the unique ideas talents and contributions reflective of the needs of our community. All job applicants for safety-sensitive positions must pass a pre-employment drug test once a conditional offer of employment has been made. Applicants will be considered until the position is filled.

Required Experience:

IC

Employment Type : Full-Time
Experience: years
Vacancy: 1
Monthly Salary Salary: 82500 - 127900