RN, Clinical Documentation Integrity Specialist at Portland, OR (Downtown) – Portland, Oregon
Portland, OR (Downtown)
Portland, Oregon, 97204, United States
Posted on
Employment Type:Full-Time
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About This Position
Overview
Responsibilities
Current unencumbered Oregon RN. External applicants- BSN required; Current OHSU employees-BSN preferred; training in Clinical Documentation Improvement through ACDIS or AHIMA. Certified Clinical Documentation Specialist (CCDS or CDIP); or certification within 6 months of hire Minimum of 3-5 years of experience in acute care nursing (RN); at least 1 year of experience in a Clinical Documentation Integrity program Valid Basic Life Support (BLS) certification issued by American Heart Association; Certified Clinical Documentation Specialist (CCDS or CDIP); or certification within 6 months of hire Qualifications
The CDS exhibits a comprehensive knowledge of clinical documentation requirements, DRG assignment, clinical conditions or procedures, and understanding of coding concepts and guidelines. The CDS is also responsible for communicating and educating members of the patients care team regarding documentation guidelines; and collaborating with other stakeholders throughout OHSU, including Quality; Enterprise Coding; and Integrity.
- Excellent observation skills, analytical and critical thinking, problem solving with good verbal and written communication skills.
- Knowledge of age specific needs and the elements of disease processes and related procedures for the targeted patient population
- Clinical knowledge and understanding of pathology/physiology of disease processes.
- Strong understanding of reimbursement and coding methodologies and guidelines; MS-DRGs; Severity of Illness, Risk of Mortality, Medical Necessity, Core and Quality Measures and impact of Length of Stay.
- Strong understanding of medical terminology.
- Ability to work independently in time sensitive environment.
- Ability to work as a part of a multidisciplinary team.
Responsibilities
- 2-3 years of experience in a Clinical Documentation Integrity program with experience in clinical quality, utilization management, case management, or related field
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Job Location
Portland, Oregon, 97204, United States
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