Registered Nurse Clinical Documentation Specialist
AI Summary
The specialist will complete admission reviews and assign working Diagnosis Related Groups while maintaining the Clinical Documentation Improvement database. They will also collaborate with physicians and healthcare providers to ensure medical records accurately reflect the severity of illness and level of services provided.
Candidates must be a Registered Nurse licensed in Florida with at least 5 years of ICU and Med Surg experience. A diploma from an accredited nursing school is required, and CDI experience or CCDS certification is preferred.
Job Details
Benefits
Key Skills
Your future role at a glance
Location: Pensacola, FL | Remote
Facility: Ascension Sacred Heart
Department: Clinical Integrity Documentation
Schedule: Day Shift | Full-Time
Salary Range: $84,060.91 - $118,668.99 per year
How you'll make an impact in this role
- Complete admission reviews and assign a working Diagnosis Related Group.
- Ensure the working DRG and other information are entered in the Clinical Documentation Improvement database.
- Initiate and maintain extensive interactions with physicians and mid-level providers to address the need for more detailed information in the medical record.
- Collaborate with healthcare professionals to ensure the severity of illness and level of services provided are accurately reflected in the medical record and to resolve physician queries and documentation issues prior to patient's discharge.
- Maintain accurate records of review activities, ensuring reports and outcomes of CDI efforts are valid.
What minimum qualifications you'll need
Licensure / Certification / Registration:
- Registered Nurse credentialed from the Florida Board of Nursing obtained prior to hire date or jobtransfer date required. Licensed as a Registered Nurse in Florida required. Credentialed from State Board of Nursingor current home state license for multi-state license recognition "Compact State" obtained prior tohire date or job transfer date required.
Education:
- Diploma from an accredited school/college of nursing OR Required professional licensure at time ofhire.
What additional requirements you'll need
- 5+ years ICU and Med Surg experience
- CDI experience preferred
- CCDS preferred
Life at Ascension: Where purpose meets opportunity
Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.
Equal employment opportunity employer
Equal employment opportunity employer
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.
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Benefits
Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & short-term disabilityEmployee assistance programs (EAP)Parental leave & adoption assistanceTuition reimbursementWays to give back to your community
Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.
About Ascension
Ascension is a leading non-profit Catholic health system dedicated to compassionate, personalized care, serving vulnerable populations across 17 states and the District of Columbia.