[Hiring] Clinical Documentation Nurse @CentraCare

Role Description

CentraCare is looking for a qualified Clinical Documentation Nurse to join our team! This role is responsible for:

• Concurrent auditing of medical record documentation to evaluate the documentation and utilization review of services.
• Facilitating appropriate physician documentation of care to accurately reflect patient severity of illness and risk of mortality.
• Proactively soliciting clarification from physicians and clinical staff in areas where further specificity is needed in the documentation.
• Consulting with attending physician when conflicting information appears in the medical record.
• Maintaining documentation regarding results of audit activity and sharing those with staff and management as necessary.
• Collecting and analyzing data pertinent to documentation findings and outcomes for process improvement.
• Supporting the concepts and philosophies of nursing as well as sound business practices.
• Promoting and facilitating education to providers regarding disease processes.
• Communicating with appropriate healthcare team members to promote accurate and complete documentation of each patient encounter.

Schedule:

• Full-time | 80 hours every two weeks | Remote after training
• Days | 8-hour shifts | Working hours between 6am-5pm
• Occasional travel to CentraCare site required

Pay and Benefits:

• Starting pay begins at $88,940.80 per year; exact wage determined by years of related experience
• Salary range: $88,940.80 - $133,494.40 per year
• Salary and salary range are based on a 1.0 FTE, reduced FTE will result in a prorated offer rate
• Full-time benefits: Medical, dental, PTO, retirement, employee discounts and more!
• Tuition reimbursement and college grant programs available

Qualifications

• Bachelor's degree in nursing required
• Current Registered Nurse (RN) licensure in the State of Minnesota required
• Minimum of 3 years acute care experience required
• Performance improvement, quality assurance related experience is required
• Certified Clinical Documentation Specialist National Certification as Clinical Documentation Specialist (CCDS) preferred
• National Certification as a Clinical Documentation Specialist-Outpatient (CCDS-O) preferred
• Candidates who have successfully completed the ACDIS bootcamp for Clinical documentation integrity (CDI) preferred
• Candidates who have completed the ACDIS CDI Apprenticeship preferred
• Utilization review, coding, clinical informatics, case management or critical care experience preferred
• 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.

Company Description

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.