临床文档专员
Clinical Document Specialist
工作地点：远程办公，印第安纳州46544
临床文档专员负责提高临床文档的整体质量和完整性。在此职位中，您将通过与医生和编码人员的广泛实时互动，推动临床文档的修改，以确保记录准确反映所治疗的诊断、执行的程序以及患者的病情严重程度。
我们是谁
拥有11个部门和服务点，覆盖整个印第安纳州，Franciscan Health 是中西部最大的天主教医疗系统之一。Franciscan Health 以雇佣提供富有同情心、全面护理的员工为荣，为我们的患者及所服务的社区提供支持。
您将获得
· 通过查询流程与医生沟通，处理缺失、不明确或矛盾的医疗记录文档，以澄清信息、获取所需文档、提出机会并教育医生正确识别病情严重程度。
· 与医生、病案管理员、编码员和其他医疗团队成员沟通，推动全面的医疗记录文档，确保其反映住院患者的临床治疗、决策和诊断。
· 运用您对并发症、共病、病情严重程度、死亡风险、病例组合、次要诊断以及程序对最终DRG影响的理解专业知识，并与医生和其他医疗团队成员分享这些知识。
· 识别文档审查和流程中的模式、趋势、差异和改进机会。
资格要求
· 护理或医疗相关领域的副学士学位 - 必要
· 护理或医疗相关领域的学士学位 - 优先
· 7年急性护理护理经验，替代学士学位 - 必要
· 最近2年在住院部、病案管理或急诊科的经验 - 必要
· 注册护士（RN）- 州执照机构 - 优先
· 认证临床文档专员（CCDS）- 临床文档完整性协会（ACDIS） - 优先
出差要求：
从不或很少
薪资范围：临床文档专员 65,229 - 89,690美元
激励：平等就业雇主
Franciscan Alliance 的政策是为员工和符合条件的求职者提供平等的就业机会，如适用的地方、州或联邦法律所要求。
Franciscan Allia
查看英文原文
Work From HomeWork From Home Work From Home, Indiana 46544The Clinical Document Specialist is responsible for improving the overall quality and completeness of clinical documentation. In this role you will facilitate modifications to clinical documentation through extensive concurrent interaction with physicians and coding staff to ensure that the record accurately reflects the diagnosis treated, procedures performed and the severity of illness of the patient.
WHO WE ARE
With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
- Communicate with physicians, regarding missing, unclear or conflicting medical record documentation through the query process to clarify the information, obtain needed documentation, present opportunities, and educate for appropriate identification of severity of illness.
- Communicate with physicians, case managers, coders, and other healthcare team members to facilitate comprehensive medical record documentation ensuring they reflect clinical treatment, decisions, and diagnoses for inpatients.
- Utilize your expertise in understanding of complications, co-morbidities, the severity of illness, the risk of mortality, case mix, secondary diagnosis, and the impact of procedures on the final DRG; and share this knowledge to physicians and other members of the healthcare team.
- Identify patterns, trends, variances, and opportunities to improve the documentation review and process.
QUALIFICATIONS
- Associate's Degree Nursing or Healthcare related field - Required
- Bachelor's Degree Nursing or Healthcare related field - Preferred
- 7 years acute care nursing in lieu of Bachelor's Degree - Required
- 2 years Recent inpatient, case management, or ED - Required
- Registered Nurse (RN) - State Licensing Board - Preferred
- Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Integrity Specialists (ACDIS) - Preferred
TRAVEL IS REQUIRED:
Never or RarelyJOB RANGE:Clinical Document Specialist $65,229 - $89,690INCENTIVE:EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, .
Originally posted on Himalayas