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Registered Nurse (RN) - Clinical Documentation Specialist

Company: HCA Healthcare
Location: Kansas City
Posted on: August 16, 2019

Job Description:

Description SHIFT: No WeekendsSCHEDULE: Full-timeClinical Documentation Improvement Specialist - FT Days--Do you want to be a part of a familyand not just another employee? Are you looking for a work environment wherediversity and inclusion thrive? Submit your application today and find out whatit truly means to be a part of a team.HCA is dedicated to the growth anddevelopment of our colleagues. We will provide you the tools and resources youneed to succeed in our organization. We are currently looking for an ambitiousClinical Documentation Specialist to help us reach our goals. Unlock your potential here! At Research Medical Center, above all else, we are committed to the care and improvement of human life.-- Located in beautiful Kansas City, Missouri, Research Medical Center embodies the mission and heart of HCA Midwest Health. We are recognized as a healthcare leader due to our skilled, compassionate and dedicated doctors and nurses.-- To ensure that we exceed our patients' health care needs, we staff over 700 doctors who represent 29 medical specialties.Several of our renowned programs, including Level I Trauma, Sarah Cannon Cancer Care, Grossman Burn Center, Kidney & Pancreas Transplant Institute, Heart Care, Neuroscience Institute and Women's Care Center, feature advanced technological resources used to diagnose and treat patients. Whether your healthcare needs are urgent and critical or simply routine and preventative, our advanced capabilities allow us to be one of the most comprehensive hospitals in the Kansas City region.HealthcareCorporation of America (HCA) is a community of 94,000 Registered Nurses and38,000 active physicians. We have over 1,900 facilities ranging from hospitals,freestanding ER's, ambulatory surgery centers, and urgent care clinics. Ourfacility based staff continues to raise the bar in patient care. Ten HCAhospitals have been named in IBM Watson Health's top 100 best-performinghospitals based on patient satisfaction and operational data.--At HCA, you have options. You canchoose from a variety of benefits to create a customizable plan. You have theability to enroll in several medical coverage plans including vision anddental. You can even select additional al la carte benefits to meet all yourneeds. Enroll in our Employee Stock Purchase Plan (ESPP), 401k, flex spendingaccounts for medial and childcare needs, and participate in our tuitionreimbursement and student loan repayment programs.-- --https://www.youtube.com/watch?v=XCCWxNq4q10https://portal.mpkinteractive.com/view/media/374/7691 Responsibilities:The Clinical Documentation Improvement Specialist conducts a comprehensive concurrent review of clinical documentation within the medical record to achieve accurate and detailed documentation.--Appropriate provider documentation for clinically indicated conditions or procedures supports appropriate assignment of severity of illness, expected risk of mortality, intensity of service and resource consumption, which in turn accurately portrays the facility's quality outcomes ratings, reduces compliance risks, and captures appropriate reimbursement.Reviews medical records and identifies potential gaps in clinical documentation for specified facilities, patient types and payer populations, as directed on admission and throughout the hospitalization.----Performs initial concurrent review of assigned population consistent with Facility, Division, or Corporate program volume and frequency requirements.----Performs follow-up reviews consistent with Facility, Division or Corporate program volume frequency requirements.----Assigns working DRG based upon identification and selection of principal diagnosis, complications or co-morbid conditions and/or valid OR procedures, including capture of POA indicators.----Ensures documented conditions, clarifications, and coded diagnoses are clinically supported.----Documents reviews and other pertinent information in designated systems by established deadlines.Uses clinical judgement to determine when and/or if a query is necessary.----Queries physicians within established timelines via approved query forms for conflicting, imprecise, incomplete, illegible, or inconsistent documentation by requesting and obtaining additional documentation within the health record when appropriateQualifications Qualifications:Graduation from an accredited school of nursing. Bachelors' degree preferred.Current RN license required with Critical Care, OR, ER experience preferred;--or RHIA/RHIT/CCS/CDI certification required; or MBBS required.Inpatient Coding/HIM, Case-- --Inpatient Coding/HIM, Case Management, Quality Review and/or other related clinical experience in an acute care facility preferred.--Must have at least five (5) years of experience required.--This position will cover the KS/MO area--We are a family 270,000 strong! OurTalent Acquisition team is reviewing applications immediately. Highly qualifiedcandidates will be promptly contacted by our hiring managers for interviews.Submit your resume today to join our community of caring!--Interested in learning more about this or other RN opportunities at HCA?-- Contact Megan at 816-589-4519--or megan.kegley@hcahealthcare.comWe are an equal opportunityemployer and value diversity at our company. We do not discriminate on thebasis of race, religion, color, national origin, gender, sexual orientation,age, marital status, veteran status, or disability status.

Keywords: HCA Healthcare, Kansas City , Registered Nurse (RN) - Clinical Documentation Specialist, Healthcare , Kansas City, Kansas

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