Position Summary

Facilitates the improvement of the overall quality, completeness and accuracy of provider-based clinical documentation in the medical record. Performs retrospective reviews in Hospice, Mortality, Clinical Validity, Risk Adjustment and other quality concepts such as PSI, HAC and re-admission. Functions in a fast paced and continuously evolving department, working collaboratively with physician advisors, leadership within coding and billing, and other departments. Works directly with Clinical Documentation Integrity (CDI) leadership, but has the ability to function independently utilizing guidance provided.

Responsibilities

•    Demonstrates ability to understand and explain complications and comorbidities (MCC/CC), severity of illness (SOI) and risk of mortality (ROM), mortality variables, case mix index (CMI), chronic and secondary conditions (HCC), impact of procedures, DRG calculation and imparts this knowledge to CDI staff, providers, and members of the healthcare team

•    Performs with self-direction, independent decision-making, analytical teaching, and articulate communication skills, both verbal and written

•    Performs retrospective review, analyzing the inpatient coding and medical record to identify coding opportunities and gaps in documentation, with a focus on quality variables such as mortality, readmission, risk adjustment, PSI, HAC, and denial prevention

•    Composes compliant queries to providers to obtain clarification of the documentation, following compliant query practice guidelines

•    Serves as a resource and participates in the ongoing education of clinicians and staff relating to physician query workflows, basic clinical documentation improvement concepts, coding guidelines and quality concepts, both written and verbal, to ensure that clinical information utilized in profiling and reporting is complete and accurate

•    Accurately utilizes software systems to collect, track and report outcomes and maintain integrity of data collection. Analyzes data, creates reports, presentations and provides recommendations for process improvement to improve KH quality metrics to leadership

•    Attends and participates in quality related committees as necessary 

•    Assists primary preceptor in fostering new CDS staff members on basic quality concepts, query compliance, daily workflows and coding guidelines as needed

•    Assists and backs-up for concurrent, retrospective, and denial reviews 

•    Relies on experience and judgment to plan and accomplish goals

•    Regular and predictable attendance is an essential job function

•    Completes mandatory training requirements 

•    Performs other related duties as assigned

•    Familiar with standard concepts, practices, and procedures within the field

•    Competent to meet age specific needs of the unit assigned 

 

Requirements and Minimum Qualifications

•    Bachelor’s degree in nursing required; Master’s preferred 

•    State of Idaho Registered Nurse OR licensure pending as documented by temporary licensure OR current RN licensure from a state participating in the “multistate privilege to practice” compact with Idaho prior to start date

•    Minimum 5 years’ acute care clinical experience required 

•    3 years’ clinical documentation specialist experience required 

•    Certified Documentation Improvement Practitioner (CDIP) or Certified Clinical Documentation Specialist (CCDS) required 

•    Inpatient Coding background required

•    Quality and/or leadership background preferred

 

Working Conditions

•    Must be able to lift and move up to 20 lbs 

•    Must be able to stoop or crouch 

•    Must be able to reach arms above or below shoulder height

•    Must be able to maintain a standing and/or sitting position 

•    Typical equipment used in a clinical job

 

Continue your career with Kootenai Health!

At Kootenai Health, you can continue learning, growing, and advancing. With 397 beds licensed on the main campus, two critical access hospitals, and more than 50 clinics, we offer an almost endless array of meaningful opportunities. Our Internal Recruiters are dedicated to providing personalized service to our team members. They are available to answer internal mobility questions and assist you in navigating options to transition and expand your career and skills.

If you’re interested in learning more about other roles, inquiring about the internal hiring process, or better understanding career pathways opportunities, please contact the Internal Recruitment team. We look forward to assisting you in finding a position that meets your lifestyle, goals, talents, and current and future skills.

What to Expect after you transfer:

If you change your title or department, you will receive a new badge. Badges are printed and available in Security on the Wednesday of the week following your transfer. Your benefits may change if your position status (FT, PT, or PRN) has been updated. Please talk with your Recruiter if you have any questions about your status and benefits. Those with a primary position as a PRN will receive per diem pay. Per Diem rates are tiered depending on number of years of employment. If you are moving into a new role, HR will provide you with a new job description to review and sign. HR will also request documentation for any new requirements for your position, including experience, education, licensure, certification, etc. If EPIC training is required for your role and you have not completed the required module for your position, please complete an EPIC Fast Track Attestation at https://kh.org/epicfasttrack If an advanced background check with Health and Welfare is required for your role and you have not completed one previously, you will need to complete the process before your transfer date.

Kootenai Health provides exceptional support for extraordinary careers. We value investing in our employees and look forward to supporting you to find a position that best meets your needs, passions, and goals!

Apply today! Please contact Amber by calling 208-625-4584 or emailing internalrecruitment@kh.org. You can also contact the HR Front Desk at 208-625-4620 or email careers@kh.org  with any questions.

Kootenai Health complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, veteran status, or sex. Kootenai Health does not exclude people or treat them differently because of race, color, national origin, age, disability, veteran status, or sex.