Full-time 80 hours ever 2 weeks | Mon-Fri 8a-430p | Work from Home 

JOB SUMMARY:
Responsible for concurrent auditing of medical record documentation to evaluate the documentation and utilization review of services to adequately reflect care provided and resources used. Responsibilities include facilitation of appropriate physician documentation of care to accurately reflect patient severity of illness and risk of mortality. Proactively solicits clarification from physicians and clinical staff in areas where further specificity is needed in the documentation, and consults with attending physician when conflicting information appears in the medical record. Maintains documentation regarding results of audit activity and shares those with staff and management as necessary. Collects and analyzes data pertinent to documentation findings and outcomes for process improvement. This position supports the concepts and philosophies of nursing as well as sound business practices. Promotes and facilitates education to providers regarding disease processes. Communicates with appropriate healthcare team members to promote accurate and complete documentation of each patient encounter. Provides patient and family centered care through The Compass: St. Cloud Hospital's Nursing Professional Practice Model to achieve the hospital mission of improving the health and quality of life that reflects the healing mission of Jesus. Age appropriate care is provided to patients and families. Supports and implements patient safety and other safety practices as appropriate. Maintains professional competencies by attending educational programs, participates in professional organizations, subscribing to the reading professional journals or other appropriate activities.

EDUCATION & EXPERIENCE:

• Bachelor's Degree in Nursing required.
• 3 years Minimum of 3 years Acute Care experience required.

LICENSES AND CERTIFICATIONS:

• Registered Nurse (RN) Current licensure as a registered nurse in the State of Minnesota required. 
• Certified Clinical Documentation Specialist National Certification as Clinical Documentation Specialist (CCDS) or National Certification as a Clinical Documentation Specialist-Outpatient (CCDS-O) preferred. 

QUALIFICATIONS:

• Utilization review, coding, clinical informatics or case management experience preferred.
• Basic computer skills required.
• Performance improvement, quality assurance related experience is required.
• Critical Thinking - must have the ability to process large amounts of information and to evaluate meaning with a rational open mind based on the evidence at hand.

CentraCare has made a commitment to diversity in its workforce. All individuals including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare is an EEO/AA employer.