RN CLINICAL DOCUMENTATION SECOND LEVEL REVIEWER (100%, DAYS)

University of Washington; Seattle (WA); Remote; USD 100,000 - 125,000; Full time

Job summary

An established industry player is seeking a dedicated Clinical Documentation Integrity Specialist to join their remote team. This role offers the opportunity to ensure high-quality standards for risk adjustment and clinical documentation. You will collaborate with multidisciplinary teams to enhance patient care and participate in innovative projects within the Clinical Documentation Program. With a commitment to excellence, this position allows you to make a significant impact in a top-ranked academic medical center, where your expertise will contribute to improving public health and patient outcomes.

Benefits

Generous benefits

Work/life programs

Public transit options

Light rail station access

Qualifications

• 6+ years of inpatient RN experience, with ER or ICU experience preferred.
• 5+ years in a Clinical Documentation Improvement role.

Responsibilities

• Review target DRGs focusing on CC/MCC capture rate and risk adjustment.
• Ensure documentation supports appropriate reimbursement based on patient acuity.

Skills

Clinical Documentation Improvement

Risk Adjustment

Inpatient RN Experience

Collaboration Skills

Education

Current WA RN License

Bachelor's Degree in Nursing

Job description

Department:

UW MEDICAL CENTER - CLINICAL DOCUMENTATION

Posting Date:

04 / 09 / 2025

Closing Info

Salary: $10,000 - $13,800 per month

Shift: First Shift

Notes

As an employee, you will enjoy generous benefits and work/life programs. For detailed information on benefits for this position, click here.

Position Overview

UW MEDICAL CENTER - MONTLAKE has an outstanding opportunity for a Second Level Review Clinical Documentation Integrity Specialist (RN). This is a full-time, remote, day shift position.

Position Highlights

Following established policies, procedures, and professional guidelines, the SLR CDIS provides expertise on focused accounts to ensure high-quality standards for risk adjustment, DRG accuracy, SOI, and ROM.

Department Description

The Clinical Documentation Integrity Program (CDIP) conducts concurrent reviews of inpatient records to ensure accurate reflection of patient severity, acuity, risk of mortality, and quality of care. Team members participate in multidisciplinary committees to promote quality and safety initiatives.

Primary Responsibilities

• Review target DRGs as specified by the CDP Manager, focusing on elements like CC/MCC capture rate and risk adjustment.
• Ensure documentation supports appropriate reimbursement based on patient acuity and services.
• Verify the accuracy and completeness of clinical information for outcome measurement and reporting.
• Participate in projects and initiatives within the Clinical Documentation Program, including education and evaluation of the CDI team.
• Collaborate with coding staff, patient financial services, and compliance for clinical validation denial appeals.

Requirements

• Current WA RN License or compact RN license.
• Minimum 6 years of inpatient RN experience, with ER or ICU experience preferred.
• Minimum 5 years in a Clinical Documentation Improvement role.
• Risk adjustment experience required (Vizient and Elixhauser preferred).

About UW Medical Center - Montlake

Located in Seattle, UW Medical Center is an academic medical center ranked as the top hospital in Seattle and Washington State, with national recognition in seven specialties. The Montlake campus offers amenities and public transit options, including a light rail station.

About UW Medicine

UW Medicine includes a top medical school and research center, dedicated to improving public health through knowledge, outstanding care, and professional training. Our team of nearly 29,000 professionals is committed to high-quality, compassionate care in a respectful environment.

We are an affirmative action and equal opportunity employer, providing consideration for all qualified applicants regardless of race, religion, gender, or other protected statuses.