NKC Health ยท 16 hours ago
Clin Documentation Specialist
Kansas City, MO
Full-time
Onsite
Mid LevelNKC Health is seeking a Clinical Documentation Improvement Specialist who is responsible for reviewing patient records to ensure complete and accurate documentation. The role involves presenting queries to physicians, validating diagnosis-related groups, and educating clinical professionals on best practices for documentation.
Health CareHospitalMedicalNon Profit
Responsibilities
Presents queries to physicians when needed to clarify ambiguous or incomplete documentation
The Clinical Documentation Improvement Specialist validates the assigned working Diagnosis Related Group (DRG) to support the operations of Utilization Review and Care Coordination functions
Formulates, interprets, and analyzes data relative to opportunities to improve documentation practices, including impact to Diagnosis Related Group, Risk of Mortality and Severity of Illness
Educates physicians and advanced practice professionals on best practice clinical documentation
Qualification
Required
Clinical Documentation Integrity, strong understanding of clinical indicators and their impact on SOI/ROM and documentation specificity
Basic working knowledge of ICD-10-CM diagnosis coding
Experience with mortality reviews and quality-driven documentation practices
Experience collaborating with HIM coding professionals
Excellent critical thinking and effective communication skills; organized, flexible and able to juggle multiple tasks simultaneously
Ability to educate peers and other clinical professionals
Demonstrates proactive self-starter activities and initiates opportunities for efficiency and improvement
Proficient in using electronic medical records, MS Office products and other clinical software
Required: RN (Registered Nurse) State of Missouri or compact RN license
Required: BLS (Basic Life Support) from AHA (American Heart Association)
Required: CCDS (Certified Clinical Documentation Specialist) within 2 years of hire
Required: CDIP (Certified Documentation Improvement Practitioner) within 2 years of hire
Required: Bachelors - Nursing
Preferred
Knowledge of or exposure to Solventum/Oracle is a plus but not required
Knowledge of Milliman Criteria or InterQual Criteria a bonus
Preferred: Masters - Nursing
Company
NKC Health
North Kansas City Hospital and Meritas Health are now NKC Health.
Founded in 1958
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Steven K Starr
Interim CMO
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