Clinical Documentation Improvement Specialist

Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com, then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System two-year institutions will also view open positions and apply within Workday by searching for ?Find Jobs for Students?. All Job Postings will close at 12:01 a.m. CT on the specified Closing Date (if designated). If you close the browser or exit your application prior to submitting, the application process will be saved as a draft. You will be able to access and complete the application through ?My Draft Applications? located on your Candidate Home page. Closing Date: 09/06/2024 Type of Position: Job Type: Regular Work Shift: Sponsorship Available: No Institution Name: University of Arkansas for Medical Sciences The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education... research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans. UAMS offers amazing benefits and perks (available for benefits eligible positions only): Health: Medical, Dental and Vision plans available for qualifying staff and family Holiday, Vacation and Sick Leave Education discount for staff and dependents (undergraduate only) Retirement: Up to 10% matched contribution from UAMS Basic Life Insurance up to $50,000 Career Training and Educational Opportunities Merchant Discounts Concierge prescription delivery on the main campus when using UAMS pharmacy Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click the Apply link/button. The University of Arkansas is an equal opportunity, affirmative action institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of age, race, color, national origin, disability, religion, marital or parental status, protected veteran status, military service, genetic information, or sex (including pregnancy, sexual orientation, and gender identity). Federal law prohibits the University from discriminating on these bases. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University's Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights. Persons must have proof of legal authority to work in the United States on the first day of employment. All application information is subject to public disclosure under the Arkansas Freedom of Information Act. At UAMS we value Diversity, Equity and Inclusion. For general application assistance or if you have questions about a job posting, please contact Human Resources at [email protected]. Department: FIN | CORE Revenue Cycle Administration Department's Website: Summary of Job Duties: This posting will fill multiple positions The Clinical Documentation Improvement Specialist is responsible for improving overall quality and completeness of clinical documentation to ensure that the information in the medical record accurately reflects the patient's severity of illness, clinical needs, and utilization of resources. This position is responsible for reviewing death medical records to ensure the severity of illness and risk of mortality has been captured at the highest level. This position works with the providers of care to capture the clinical care in a code format for reimbursement and to ensure UAMS has the correct case mix. Reviews all admission types to the hospital to ensure of severity is captured and then educates the providers of care on admission types. Qualifications: Minimum Qualifications: Registered Nurse (RN) with current license Certified Clinical Documentation Specialist (CCDS) within six months Preferred Qualifications: RN; minimum of 5 years inpatient clinical experience in Emergency, Critical Care, or Medical/Surgical area plus two years of clinical documentation experience Additional Information: Additional Information: Applies extensive clinical knowledge to read and analyze health record documentation, identifying all significant diagnoses, treatment, and procedures impacting acuity level and resources consumed throughout the current hospitalization; applies knowledge of disease processes, surgical procedures, UHDDS definitions, and the CMS/NCHS ICD-10 Official Coding Guidelines for Coding and Reporting to assign non-indexed terms to the appropriate class within the ICD-10 coding classification system. Reviews all death medical records and works with Vizient calculator to ensure risk of mortality and severity of illness scores are correct. Reviews all admission types to the hospital to ensure severity is captured. Interacts directly with physicians, nursing staff, other patient caregivers, coding staff, and other members of the health care team to facilitate clarification of clinical documentation and transfer of knowledge related to accurate documentation, coding, and reimbursement practices; ensures that documentation is clear, concise, and written in diagnostic terms reflecting the highest level of specificity. Develops and facilitates education related to clinical documentation improvement, coding guidelines, and regulatory requirements to all members of the healthcare team through one-on-one communication and classroom or large group presentations throughout the year as assigned. Other duties as assigned Customer Service: Interacts with and assists the public in a professional and friendly manner as needed. Demonstrates effective communication skills; communicates accurate and complete information; maintains strict confidentiality when necessary. Demonstrates positive working relationships with co-workers, management team, and ancillary departments; follows the Core Concepts of Patient and Family Centered Care and the Basic Code of Conduct Guidelines. Assist internal and external stakeholders as needed with exceptional customer service. Physical Requirements: Stand Occasionally Sit Continuously Walk Occasionally Bend, crawl, crouch, kneel, stoop, or reach overhead Occasionally Lift/Push/Pull/Carry Weight 10 lbs or less Use hands to touch, handle or feel Continuously Talk Frequently Hear Frequently Taste or smell Never Read, concentrate, think analytically Continuously Physical Environment Inside office environment; inside medical facility environment Noise Level Moderate Visual Requirements (select all that apply) Near visual acuity Hazards (select all that apply) None Salary Information: Commensurate with education and experience Required Documents to Apply: Cover Letter/Letter of Application, List of three Professional References (name, email, business title), Resume Optional Documents: Proof of Veteran Status Special Instructions to Applicants: Recruitment Contact Information: Please contact [email protected] for any recruiting related questions. All application materials must be uploaded to the University of Arkansas System Career Site https://uasys.wd5.myworkdayjobs.com/UASYS Please do not send to listed recruitment contact. Pre-employment Screening Requirements: This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law. Constant Physical Activity: Frequent Physical Activity: Occasional Physical Activity: Benefits Eligible: Yes At the University of Arkansas for Medical Sciences (UAMS), we are looking for health care and non-health care professionals who believe in excellence as a way of life. If you think you have the skills and commitment to succeed at the highest level, consider a career at UAMS, the state?s only academic health sciences center. Combining diverse talents and expertise, our employees work together to provide advanced patient care. We currently have a wide variety of positions available, from patient care to support staff- we may have the perfect position for you. UAMS is Arkansas? only comprehensive academic health sciences center. We educate and train the vast majority of the state?s physicians and prepare doctors, scientists, nurses, pharmacists and health professionals through innovation, compassion, teamwork and patient- and family-centered care so they can impact the world. UAMS rewards its nurses! Statewide opportunities are available in direct patient care, education, and research settings. We offer Bonus Programs, Hotel Lodging, New Graduate RN Residency and support for Clinical Ladder, National Certification, Shared Governance, and Recognition Programs to name a few. Go to nurses.uams.edu for more details. The University of Arkansas for Medical Sciences (UAMS) is committed to providing a safe and secure environment for students, faculty, staff, visitors, and prospective employees. The below report is provided in compliance with the Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act (Clery Act) and the Higher Education Opportunity Act (HEOA). The report will provide you with information on campus safety and security including information on various policies and procedures for reporting crime, safety and security prevention and protection programs, victim assistance services, fire safety, and other materials to assist you in maintaining your safety and security. www.uams.edu/police