Jobs · Healthcare · Oklahoma

Professional Clinical Documentation Integrity RN

Norman Regional Health System · Norman, OK · 1 wk ago
On-siteHealthcare$31.31–$51.14/hrFull-time
Departmental Overview Compensation / Benefits $31.31-$51.14/hr based on previous work experienceBenefits 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 Job Summary 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. Qualifications Education Associates Degree in Nursing required, Bachelors of Science in Nursing preferred. Experience 3 to 5 years direct clinical nursing experience requiredExperience in a broad range of clinical situations/settings preferred (Above requirements can be met by equivalent combination of education and experience) Licensure/Certification Current Oklahoma RN licensure requiredProfessional certification in Clinical Documentation, CCDS, CCDS-O or CDIP preferred and/or Professional coding certification, RHIA, RHIT, CCS, CCS-P, COC or CRC preferred Other Knowledge/Skills/Abilities Knowledge of Excel, Microsoft Word, Microsoft PowerPoint and Microsoft OutlookStrong interpersonal, communication (verbal and non-verbal and listening) skillsExperience in developing and presenting education programsAnalytical skillsNeeds to be self-motivated, self-directed and able to work independently with minimal supervisionWell organized and detail orientedCapable of critical thinking, reasoning, deduction and inference while displaying the ability to draw accurate conclusionsIf not already obtained, certification in Clinical Documentation and/or coding certification is voluntary but highly recommended within 3 - 5 years. Work Shift Day Position Type Regular Full Time

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