What are the responsibilities and job description for the Professional Clinical Documentation Integrity RN position at Norman Regional Health System?
Departmental Overview
Compensation / Benefits
Education
Licensure/Certification
Day
Position Type
Regular Full Time
Compensation / Benefits
- $31.31-$51.14/hr based on previous work experience
- Benefits include medical, dental, vision, short-term disability, long-term disability, life insurance, paid time off (PTO), paid holidays, tuition reimbursement, scholarship opportunities, retirement plans, free parking, and opportunities for advancement
- Improves the overall quality and completeness of clinical documentation by performing systematic chart reviews on a daily basis, querying physicians and proactively soliciting clarification from physicians, as needed.
- Demonstrates knowledge of documentation requirements and coding guidelines that pertain to diagnosis coding to accurately reflect the complexity and medical necessity of the encounter.
- Routinely participates/provides education (including one-on-one education) to physicians, facility/clinic staff and other key healthcare providers.
- Utilizes software systems to collect and ensure the effectiveness of the data.
Education
- Associates Degree in Nursing required, Bachelors of Science in Nursing preferred.
- 3 to 5 years direct clinical nursing experience required
- Experience in a broad range of clinical situations/settings preferred
Licensure/Certification
- Current Oklahoma RN licensure required
- Professional certification in Clinical Documentation, CCDS, CCDS-O or CDIP preferred and/or Professional coding certification, RHIA, RHIT, CCS, CCS-P, COC or CRC preferred
- Knowledge of Excel, Microsoft Word, Microsoft PowerPoint and Microsoft Outlook
- Strong interpersonal, communication (verbal and non-verbal and listening) skills
- Experience in developing and presenting education programs
- Analytical skills
- Needs to be self-motivated, self-directed and able to work independently with minimal supervision
- Well organized and detail oriented
- Capable of critical thinking, reasoning, deduction and inference while displaying the ability to draw accurate conclusions
- If not already obtained, certification in Clinical Documentation and/or coding certification is voluntary but highly recommended within 3 - 5 years.
Day
Position Type
Regular Full Time
Salary : $31 - $51