Clinical Documentation Sr Analyst

100 The Nebraska Medical Center; United States; Hybride; USD 90 000 - 110 000; Plein temps

Résumé du poste

Nebraska Medicine seeks a Clinical Documentation Improvement (CDI) Specialist to join our team. The role involves extensive record review to ensure compliant documentation, accurate illness severity representation, and collaboration with clinicians, HIM, and nursing staff.

Required are a BSN and RN license (Nebraska or compact state). Previous CDI or inpatient acute care experience is valued, with opportunities for professional development in a respected academic health network.

Qualifications

• Two years bedside inpatient acute care experience or recent CDI Specialist experience; RHIA/RHIT/CCS with 3+ years acceptable.
• BSN required.
• Critical thinking, problem solving, and deductive reasoning skills required.
• Proficient in Microsoft Word, Excel, Outlook and EMR systems.
• Outstanding organizational, analytical, writing, and interpersonal skills with diverse stakeholders.
• Current Nebraska RN license or compact state license required.

Responsabilités

• Perform extensive record review to ensure compliant documentation and accurate severity of illness representation.
• Collaborate with clinicians, HIM professionals, and nursing staff to support CDI processes and documentation integrity.

Connaissances

Critical thinking

Problem solving

Deductive reasoning

Interpersonal skills

Attention to detail

Formation

BSN (Bachelor of Science in Nursing)

RN license in Nebraska or compact state

RHIA/RHIT/CCS credential (preferred)

Outils

Microsoft Word

Microsoft Excel

Outlook

Description du poste

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

Shift Details: 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 your healthcare careers to those who are years down the path.

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.

Nebraska Medicine includes two hospitals, the state's largest and highest rated Nebraska Medical Center and Bellevue Medical Center, along with more than 70 primary care and specialty clinics.

Nebraska Medicine and our research and education partner, the University of Nebraska Medical Center (UNMC), share the same mission: to lead the world in transforming lives to create a healthy future for all individuals and communities through premier educational programs, innovative research and extraordinary patient care.

Every colleague plays a key role in upholding our promise of “Serious Medicine, Extraordinary Care” to our patients and their families. Working with Nebraska Medicine means committing to meaningful, impactful work that will elevate the success of your fellow colleagues and will help our patients and their families feel comfortable, confident and cared for.