Clin Documentation Spec/UKHC in Lexington, Kentucky at University of Kentucky

ADN

7 yrs

Registered Nurse (RN)

The physical requirements of this position include: lifting, pushing, and/or pulling objects up to 10lbs; regularly walking or standing with objects up to 10lbs; regularly sitting at a computer workstation for extended periods of time with repetitive motions (such as typing); and occasional (<10% of the time) job-related travel.

Primarily dayshift; 8a – 5p; Monday through Friday with occasional evenings, nights, and holidays per departmental needs.

The Clinical Documentation Specialists review physician documentation to identify the most appropriate DRG. When evidence supports additional diagnoses not documented in a manner that can be used in final ICD-9 codes, Clinical Documentation Specialists clarify with physician staff to make sure diagnoses are appropriately documented in the medical record. This function is vital to capture the most accurate clinical picture of severity of illness, risk of mortality, co-morbidities, and complications. This position also assists in the capture of present on admission diagnoses.

The ideal candidate will have the ability to manage multiple tasks and/or projects while accurately completing routine functions in a fast paced, high intensity, professional work environment; knowledge of nursing theory; proficient in Microsoft Office; excellent attention to detail; exceptional planning and organizational skill; effective written and verbal communication skills; ability to solve routine problems and manage resources; and demonstrated ability to provide superior customer service, time management, and judgment.

Bachelors Degree preferred; 5 years of nursing experience preferred.

We value the well-being of each of our employees and are dedicated to creating a healthy place for everyone to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors, the University of Kentucky is a Tobacco & Drug Free campus.

The University follows both the federal and state Constitutions as well as all applicable federal and state laws on nondiscrimination. The University provides equal opportunities for qualified persons in all aspects of institutional operations and does not discriminate on the basis of race, color, national origin, ethnic origin, religion, creed, age, physical or mental disability, veteran status, uniformed service, political belief, sex, sexual orientation, gender identity, gender expression, pregnancy, marital status, genetic information or social or economic status.

Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.