Experience:
1-3 years of experience
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Employment Type:
Full time
Posted:
8/13/2017
Job Category:
Nursing
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RN Clinical Document Improvement Specialist Job
Mayo Clinic | La Crosse, Wisconsin
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Job Description

Department: CDI - Clinical Documentation Improvement

A Life-Changing Career


Responsibilities: The Clinical Documentation Improvement (CDI) Specialist is accountable for reviewing patient medical records throughout hospitalization to capture accurate representation of the severity of illness and facilitate proper coding. The CDI Specialist validates that coding reflects medical necessity of services and facilitates appropriate coding which provides an accurate reflection and reporting of the severity of the patient's illness along with expected risk of mortality and complexity of care. Documentation of discharge diagnoses and co-morbidities are a complete reflection of the patient's clinical status and care.



Utilizes advanced knowledge of disease processes (pathophysiology), medications, and have critical thinking skills to analyze current documentation to identify gaps.



Identifies opportunities in concurrent and retrospective inpatient clinical medical documentation to support quality and effective coding.



Understands and applies regulatory compliance related to documentation, coding and billing for all health insurance plans.



The CDI Specialist facilitates appropriate modifications to documentation through extensive interactions and collaboration with physicians, coding, case management, nursing and other care givers.



Serves as an effective change agent as an educator and resource for physicians and allied health staff to improve the quality and completeness of the clinical documentation.



Performs all duties and responsibilities in accordance with ethical and legal business procedures, compliant with federal and state statutes and regulations, official coding rules, guidelines and accepted standards of coding practice including appropriate clinical documentation policies.



The American Nurses Association: Scope and Standards of Practice provide a basis for practice of the RN. (631832)



Qualifications: Bachelor of Science in Nursing required.

Minimum of three years registered nursing acute care experience required, which includes depth understanding of anatomy, physiology, medical terminology, and disease processes required.




Additional Qualifications: Certified Clinical Documentation Specialist preferred.

National certifications in utilization review, case management, coding, and/or quality preferred.

Knowledge of DRG, ICD-10 and CPT coding relative to physician clinical documentation within electronic medical records preferred.

Experience in utilization review, clinical documentation, precertification, coding, Medicare regulations, quality assurance, or related area preferred.

Demonstrated skills in analytical thinking, problem solving.

Effective verbal and written communication including ability to present ideas and concepts effectively to physicians, management and other members of our healthcare team.

Self-motivated and able to work independently without close supervision.

Demonstrated ability to work well with others in a creative and challenging work environment.

Must be able to work flexible hours which may include evenings and weekends as required to meet business needs.

Ability to Travel within MCHS region and to attend external meetings is required.

License or Certification: Current Registered Nursing license for the state location.

Must obtain Certified Clinical Documentation Specialist certification within 3 years of hire and maintained.


Benefit Eligible: Yes
Exemption Status: Exempt
Compensation Detail: Education, experience and tenure may be considered along with internal equity when job offers are extended. The minimum salary every 2 weeks is approx $1,198.00.
Hours/Pay Period: 40

Recruiter: Sarah Martin

Why Mayo Clinic? Mayo Clinic provides the highest quality patient care by placing the needs of the patient first. We are the largest integrated, not-for-profit medical group practice in the world with approximately 60,000 employees working in a unique environment that brings together the best in patient care, groundbreaking research and innovative medical education. We offer a highly competitive compensation package, which includes exceptional benefits, and have been recognized by FORTUNE magazine as one of the top 100 "Best Companies to Work For".


Mayo Clinic is an equal opportunity educator and employer (including veterans and persons with disabilities).

Job Posting Category: Business Professional, Nursing
Job Posting Number: 84903BR

About Mayo Clinic

Company Description

Mayo Clinic is the first and largest integrated, not-for-profit medical group practice in the world. Doctors from every medical specialty work together to care for patients, joined by common systems and a philosophy of "the needs of the patient come first." More than 3,800 physicians and scientists and 50,900 allied health staff work at Mayo Clinic, which has sites in Rochester, Minn., Jacksonville, Fla., and Scottsdale/Phoenix, Ariz. Mayo Clinic also serves over 70 communities through Mayo Clinic Health System with locations in MN, IA, GA, and WI. Collectively, these locations care for more than 1 million people each year.

Company History

Perhaps it was fate, perhaps happenstance or maybe even luck. Whatever you decide, this is certainly a story about being at the right place at the right time -- a moment in history when scientific discovery made possible the creation of modern medicine. It's also a story of an extraordinary family -- Dr. William Worrall Mayo, a frontier doctor, and his two sons, Dr. William J. Mayo and Dr. Charles H. Mayo, and the great institution they built, Mayo Clinic. It's the story of a deadly tornado and the partnership that evolved between the Mayo family and the Sisters of Saint Francis. It's a story about unusual dedication, willingness to face a hostile and harsh environment, a story of discovery, sharing, collaboration, selflessness and generosity. It's also a story of how people came together in a small town on the edge of America's Great Plains and built the first integrated medical practice and how that practice developed a model dedicated to providing the best care to every patient every day.

Mission & Values

Mayo Clinic has a legacy of inspiring hope and contributing to health and wellbeing by providing the best care to every patient through integrated clinical practice, education, and research.

Working Here

What if a career could change your life?  Whether you are a nursing student, starting your professional life, or already have a substantial career in Nursing, you may sometimes wonder if you are doing the work you were meant to do.  As a Mayo Clinic Nurse you will become a vital member of a dynamic health care team, where you’ll experience the exceptional environment of one of the world’s cutting edge health care institutions.

Perhaps you imagine being part of a team where your colleagues inspire you to stretch and grow beyond your boundaries. Maybe you are looking for a purpose in life that gives you an opportunity to be part of a lasting legacy. Mayo Clinic provides the highest quality patient care by placing the needs of the patient first.  You’ll discover a culture of teamwork, professionalism and mutual respect – and most importantly, a life-changing career.

Hiring Information

Mayo Clinic has a multidisciplinary, team-oriented work environment that presents opportunities that may rarely be experienced elsewhere.  Each year more than a million patients from all 50 states and nearly 150 countries come to Mayo Clinic for care.  Mayo Clinic teams cared for 1,113,000 individual patients in 2011 at campuses in Minnesota, Florida, Arizona and Mayo Clinic Health Systems, a network of clinics, hospitals, and health care facilities serving communities in Minnesota, Iowa, Wisconsin, and Georgia.  A variety of specialty opportunities exist within hospital inpatient, Perioperative and perianesthesia, and ambulatory care areas depending on location of interest.

Benefits

Mayo offers a wide variety of benefits for employees. They include paid time off, tuition assistance, relocation assistance and excellent health care coverage.

Honors & Awards

In 2012, FORTUNE named Mayo Clinic to its 15th annual 100 Best Companies to Work For list. This is Mayo Clinic's ninth consecutive year on the list. The Department of Nursing at Mayo Clinic in Rochester has been a Magnet status recipient since 1997.

Mayo Clinic is an affirmative action and equal opportunity educator and employer.