RN Clinical Documentation Specialist     
 

Position Summary:

Responsible for facilitating the improvement in the overall quality, completeness and accuracy of the provider-based clinical documentation in the medical record.

Responsibilities:

Assigns codes based on the documentation to obtain a working DRG Analyzes the medical record to identify gaps in documentation Composes 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 relating to clinical documentation improvement concepts and coding guidelines to ensure that clinical information utilized in profiling and reporting is complete and accurate  Utilizes software systems to collect, track and report outcomes and maintain integrity of data collection Familiar with standard concepts, practices, and procedures within the field  Relies on experience and judgment to plan and accomplish goals Regular and predictable attendance is an essential job function Completes mandatory training requirements 

Requirements and Minimum Qualifications:

Graduate of a nationally accredited Nursing program required. 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 Licensed RN with a minimum 3 years’ patient-facing RN experience at time of hire, ADN or diploma required; BSN or higher preferred All non-BSN RN's with less than 3 years’ patient-facing RN experience at time of hire are required to be enrolled in a baccalaureate (or higher) degree program in nursing within 1 year of employment, with completion within 3 years of hire Minimum of 5 years of acute care clinical experience, with preferred focus in ED, critical care and cardiology Current certification in CDIP-Certified Documentation Improvement Practitioner or CCDS-Certified Clinical Documentation Specialist and/or willingness to obtain CCDS/CDIP certification after 2 years of CDI experience Clinical background in a variety of settings Previous experience in clinical documentation preferred DRG and coding background preferred

 

About Kootenai Health: 

Kootenai Health is a highly esteemed health care organization, serving patients throughout northern Idaho and the Inland Northwest. We pride ourselves on our outstanding reputation as both an employer and a health care provider. We have been recognized with many accolades and distinctions including being recognized as a Gallup Great Workplace, No. 1 Best Place to Work in Large Healthcare Organizations, and Magnet™ Status for Nursing Excellence.

 

As your next employer, we are excited to offer you:

100% employer-paid health insurance premiums for full-time employees. Part-time employees pay only a small portion a month for medical, dental, and vision coverage. Benefits start 1st of the month following 30 days of employment A tuition assistance program available after 90 days. If you want to further your education, we'll help you pay for it Kootenai Health will match your contributions in a defined contribution 457 retirement plan based on years of service ranging from 3-6 percent. Kootenai Health will contribute an amount equal to two percent of your gross earnings Competitive salaries with night, weekend and PRN shift differentials An award-winning and incentive-driven wellness program. Including a MyHealth corporate team, onsite financial seminars and coaching Employees receive discounts at The Wellness Bar, PEAK Fitness, various cell phone carriers, and more Robust and interactive employee bonus program, utilize our mobile ERIN app to alert employees to new positions, make referrals and track your bonuses And much more 

 

If you strive to be an integral part of a high-quality healthcare system like Kootenai Health, we want to meet you! 

Apply today! Please reach out to Julie Pickup, 208-625-4136 or via email at JPickup@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.