Clinical Documentation Spec(Rn)- Full Time Days

125 Advocate Health and Hospitals Corporation; Street (MD); Hybrid; USD 52,000 - 79,000; Full time

Benefits offered by this job

Total rewards

Health benefits

Paid time off

Job summary

Advocate Health and Hospitals Corporation is seeking a Clinical Documentation Specialist for a full-time, hybrid role. The position supports documentation excellence across hospital and home settings, focusing on accurate coding, DRGs, and clinical severity assessment.

Requires BSN and 5+ years inpatient experience; Illinois nursing license preferred; CDI certification is a plus. The role entails physician and team interaction to improve documentation quality, with a comprehensive total rewards

Qualifications

• BSN minimum; 5 years relevant inpatient acute care experience.
• ICU or ED experience preferred.
• Clinical documentation improvement experience preferred.
• Ability to prioritize work.
• Excellent communication skills.
• Good problem solving skills.
• Current nursing license in the State of Illinois.
• Certification in clinical documentation improvement preferred.

Responsibilities

• Lead the modifications of clinical documentation through extensive interaction with physicians and the care team to ensure accurate severity and mortality risk documentation.
• Support timely accurate and complete documentation used for measuring and reporting physician and hospital outcomes.
• Provide ongoing education to the health care team on clinical documentation best practices.

Skills

Communication skills

Critical thinking

Verbal communication

Written communication

Education

BSN

Job description

CLINICAL DOCUMENTATON SPECIALIST SHIFT:FULL TIME DAYS

Department: 11207 Advocate Christ Medical Center - Compliance Document Management Program Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Hybrid Pay Range: $38.20 - $57.30

This position works both in the hospital and work from home.

Position Requirements:

Graduate from an accredited school of nursing BSN minimum 5 years relevant inpatient acute care experience, Critical Care, ICU, ED experience. Clinical documentation improvement experience preferred. Ability to prioritize work Excellent communication skills. Good problem solving skills Critical thinking skills Basic Computer skills Effective problem~solver with good interpersonal communication skills verbal and written Effective observation analytical and critical thinking skills Current nursing license in the State of Illinois Certification in clinical documentation improvement preferred. Ability to work in changing environment Ability to prioritize independently and respond to multiple simultaneous requests Ability to work under stressful conditions and in difficult situations May be exposed to hazardous materials and life threatening diseases This 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 DRGs none

Purpose:

This role will facilitatethe 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

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.

About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Advocate Health provides more than $6 billion in annual community benefits. This is Transformation One shared purpose brought us together. Now, as one of the 10 largest not-for-profit, integrated health systems in the United States, our combined strength and stability drives us forward. Starting with You Caring for nearly 3 million people has inspired a transformation. One in which the patient’s experience guides our vision and empowers us to offer new possibilities in our communities. Reshaping Access What is access? It’s offering more sites of care than any other health system in the Midwest. But there’s a new frontier. Access is exploring the latest technologies to deliver care to patients exactly where they are and exactly when they need it Inspiring Professionals With our dynamically inclusive workforce and strong connections to the places where we live and work, we’ll touch more lives and contribute to stronger and more vibrant communities. Transforming Care We’re redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in: Cardiovascular Care Neurosciences Gynecology Oncology Pediatrics Primary Care Neurology Geriatrics Trauma Care

Committed to providing equitable care for all,