at University of Illinois at Chicago in Chicago, Illinois, United States
Job Description
Clinical Nursing Consultant II - Clinical Documentation Improvement Specialist
Clinical Nursing Consultant II - Clinical Documentation Improvement Specialist
Hiring Department: Clinical Documentation Improvement Specialist
Location: Chicago, IL USA
Requisition ID: 1025121
FTE : 1.0
Work Schedule - 08:00 AM- 4:30 PM
Shift : Days
# of Position: 3
Posting Date: 05/10/2024
This position requires Illinois residency within 180 days of the hire date.
About the University of Illinois Chicago
UIC is among the nation's preeminent urban public research universities, a Carnegie RU/VH research institution, and the largest university in Chicago. UIC serves over 34,000 students, comprising one of the most diverse student bodies in the nation and is designated as a Minority Serving Institution (MSI), an Asian American and Native American Pacific Islander Serving Institution (AANAPSI) and a Hispanic Serving Institution (HSI). Through its 16 colleges, UIC produces nationally and internationally recognized multidisciplinary academic programs in concert with civic, corporate and community partners worldwide, including a full complement of health sciences colleges. By emphasizing cutting-edge and transformational research along with a commitment to the success of all students, UIC embodies the dynamic, vibrant and engaged urban university. Recent "Best Colleges" rankings published by U.S. News & World Report, found UIC climbed up in its rankings among top public schools in the nation and among all national universities. UIC has nearly 260,000 alumni, and is one of the largest employers in the city of Chicago.
Description:
Position Summary The Clinical Documentation Specialist facilitates the improvement in the overall quality, completeness, and accuracy of clinical documentation in the medical record. Obtains appropriate clinical documentation through extensive interaction with physicians, nursing staff, and Health Information Management coding staff. Ensures that the clinical severity and risk of mortality for the level of services provided are appropriately documented for inpatient accounts. Educates members of the patient care team on documentation guidelines on an ongoing basis.
Duties & Responsibilities
Essential Responsibilities
Clinical Documentation Improvement/Quality/Education
Facilitates appropriate clinical documentation to ensure that the level of services and acuity of illness are accurately reflected in the medical record.
Improves overall quality and completeness of clinical documentation for identified patient populations.
Demonstrates knowledge of MS-DRG and APR-DRG payer issues, documentation opportunities, clinical documentation requirements, coding, policies and procedures, and quality measures.
Improves the overall quality and completeness of clinical documentation by performing admission/continued stay reviews using clinical documentation guidelines for selected patient populations.
Formulates compliant and credible clinical documentation clarifications or queries to improve clinical documentation of principal diagnosis, co-morbidities, clinical severity and risk of mortality, present on admission (POA), quality core measures, and patient safety indicators (PSI).
Updates worksheet to reflect any changes in patient status, procedures/treatments, and confers with the physician to finalize diagnoses as required.
Conducts timely follow-up reviews of clinical documentation to ensure issues discussed and clarified with the physician have been recorded in the patient's chart.
Collaborates with the coding staff concurrently and retrospectively and reviews clinical issues as needed with the Coding Staff for the accuracy of coding.
Responsible for accurate, timely entry of pertinent data.
Assumes the responsibility for achieving program objectives.
Maintains positive communication with physicians, CDI team members, and management.
Assists in special projects as required.
Collaborates with other nurses and physicians to identify, promote, and provide positive learning experiences for providers.
Provides CDI education to nursing staff, and Allied Health Professionals as appropriate.
Initiates one-on-one physician education interaction as indicated for clarification and documentation needs.
Assists in the development of educational presentations to medical providers for awareness of... For full info follow application link.
The University of Illinois may conduct background checks on all job candidates upon acceptance of a contingent offer. Background checks will be performed in compliance with the Fair Credit Reporting Act.
The University of Illinois Chicago is an affirmative action, equal opportunity
institution/employer and does not discriminate on the basis of race, color, national origin, sex, religion, age, sexual orientation, gender identity, veteran or disability status, height, weight, or marital status in employment or the provision of services.
