Clinical Documentation Spec(Rn)- Full Time Days

Advocate Health Care; Oak Lawn (IL); Hybrid; USD 75,000 - 98,000; Full time

Job summary

Advocate Health Care is seeking a Clinical Documentation Specialist to work in both hospital and home settings. The role focuses on improving documentation quality, educating the health care team, and ensuring accurate coding for severity and mortality risk across inpatient populations.

Applicants should have a BSN and Illinois nursing licensure, with CDI experience preferred and ability to manage multiple priorities in a changing clinical environment.

Qualifications

• Graduate from an accredited school of nursing
• BSN with 5 years relevant clinical experience
• Clinical documentation improvement experience preferred
• Ability to prioritize work and manage multiple requests
• Excellent communication, problem solving, critical thinking
• Current nursing license in the State of Illinois
• Certification in clinical documentation improvement preferred
• Ability to work in changing environment and under stress
• Knowledge of ICD-10 coding and DRGs

Responsibilities

• Improves the overall quality and completeness of clinical documentation by performing chart reviews using clinical documentation guidelines based on accepted standards, evidenced-based practice and current regulatory requirements
• Educates internal customers on clinical documentation opportunities

Skills

Nursing

Critical thinking

Communication skills

Problem solving

ICD-10 knowledge

Adaptability

Education

BSN

Tools

Computer skills

Job description

CLINICAL DOCUMENTATON SPECIALIST

SHIFT:FULL TIME DAYS

This position works both in the hospital and work from home

Position Requirements:

Graduate from an accredited school of nursingBSN5 years relevant clinical experienceClinical documentation improvement experience preferred Ability to prioritize workExcellent communication skillsGood problem solving skillsCritical thinking skillsBasic Computer skillsEffective problem~solver with good interpersonal communication skills verbal and writtenEffective observation analytical and critical thinking skillsCurrent nursing license in the State of Illinois.Certification in clinical documentation improvement preferred. Ability to work in changing environmentAbility to prioritize independently and respond to multiple simultaneous requestsAbility to work under stressful conditions and in difficult situationsMay be exposed to hazardous materials and life threatening diseasesThis position needs to recognize needs and behaviors of specific age groups of patients treated.Extensive knowledge and experience of ICD~10 coding classification system and DRGsnone

Purpose:

This role will facilitate the modifications of clinical documentation through extensive initial and concurrent interaction with physicians and other members of the healthcare team to support appropriate documentation of the clinical severity and risk of mortality is captured for the level of services rendered to select inpatients populations. This role will supports timely accurate and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes and provides education to all members of the health care team on an ongoing basis.

Accountabilities:

Improves the overall quality and completeness of clinical documentation by performing chart reviews using clinical documentation guidelines based on accepted standards evidenced based practice and current regulatory requirements.Educates all internal customers on clinical documentation opp