Clinical Documentation Sr Analyst

Nebraska Medicine; Bellevue (NE); Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Tuition assistance up to $5,000/year

Clarkson College discount 35%

Career advancement opportunities with

Education cost coverage

Job summary

Nebraska Medicine is seeking a Clinical Documentation Improvement Specialist to support documentation integrity across inpatient care. You will collaborate with clinicians and HIM professionals to ensure accurate coding and appropriate representation of patient illness severity.

The role requires a BSN and RN licensure in Nebraska or a compact state, with strong problem solving, communication, and EMR proficiency. Hybrid full-time position with opportunities for growth and tuition support.

Qualifications

• Two years experience at the bedside in an inpatient acute care setting and/or recent work experience as a clinical documentation Improvement Specialist required OR RHIA/RHIT/CCS with at least 3 years of coding and/or clinical documentation improvement work.
• Bachelor's degree in nursing (BSN) required.
• Strong critical thinking, problem solving, and deductive reasoning skills.
• Specialized training in advanced computer skills (MS Word, Excel, Outlook) and EMR usage required.
• Outstanding organizational, analytical, writing, and interpersonal skills to work with diverse stakeholders in a complex academic healthcare organization.
• Currently licensed as a Registered Nurse in Nebraska or a compact state license.

Responsibilities

• Support documentation integrity through extensive record review in collaboration with clinicians and HIM professionals.
• Facilitate complete and accurate coding documentation to reflect severity of illness and core measures.

Skills

Critical thinking

Interpersonal skills

Electronic medical record

Education

Bachelor's degree in nursing (BSN)

Tools

Microsoft Word

Excel

Outlook

Job description

Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families.

Shift:

First Shift (United States of America)

*****Must live in Nebraska or Iowa*****

ShiftDetails:

Flexible Day hours

Full time/Hybrid

Why Work at Nebraska Medicine?

• Together. Extraordinary. Join a team that values your skills, delivering exceptional care through collaboration.
• Leading Health Network Work with the region’s top academic health network, partnering with UNMC to transform lives through education, research, and patient care.
• Dignity and Respect: We value all backgrounds and experiences, reflecting the communities we serve.
• Educational Support Enjoy up to $5,000/year in tuition assistance, a 35% discount at Clarkson College, and career advancement opportunities with covered educational costs. Enjoy support for your personal growth within the organization, from those just starting their healthcare careers to those who are years down the path.

Be part of something extraordinary at Nebraska Medicine!

Support the principles of compliant documentation integrity through extensive record review. Concurrently interact with clinicians, health information management (HIM) professionals, and nursing staff to facilitate the complete and specific documentation necessary for appropriate coding, core measures, and accurate representation of the severity of illness of the patient.

Required Qualification:

• Two years experience at the bedside in an inpatient acute care setting and/or recent work experience as clinical documentation Improvement Specialist required OR Registered Health Information Management Administrator (RHIA) credential; Registered Health Information Technician (RHIT) credential; or Certified Coding Specialist (CCS) credential with at least 3 years of coding and/or clinical documentation improvement work.
• Bachelor's degree in nursing (BSN) required.
• Successful use of critical thinking, problem solving, and deductive reasoning skills required.
• Successful completion of specialized training in advanced computer skills such as Microsoft Word, Excel and Outlook email and the use of an electronic medical record required.
• Outstanding organizational, analytical, writing, and interpersonal skills with the ability to work with diverse stakeholders to meet varied needs in a complex academic healthcare organization required.
• Currently licensed as a Registered Nurse in the state of Nebraska or current compact state license required.

Preferred Qualifications:

• Prior experience at the bedside in an inpatient acute care setting preferred.
• Prior experience in quality, utilization review, case management, coding, or related field preferred.
• Team leadership experience preferred.
• Master's of Science in Nursing (MSN) degree preferred.
• Clinical Documentation Improvement (CDI) Certification preferred.
• Understanding of coding guidelines and conventions preferred.Understanding of Medicare Part A and Part B programs and the relationship to diagnosis related group (DRG) alignment preferred.
• Experience with typical office equipment (e.g., fax machine, copier, laser printer, AV equipment, scanners, and organization and department specific software) preferred.
• Basic Life Support (BLS) certification preferred, must be from an American Heart Association (AHA) endorsed program (effective for new hires starting January 1, 2023 or later).

Nebraska Medicine is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans’ status.