RN Specialist-Clinical Documentation - Ascension
Baltimore, MD 21229-5201
About the Job
- Department: Health Information Management
- Schedule: Monday-Friday, regular business hours
- Hospital: Ascension St. Agnes
- Location: Baltimore, MD
ED, ICU and Med Surg experience required
Bachelors in Nursing with at least 1 year of either CDI, Quality, or Care Management and Coding experience.
Conversant with HCC (Hierarchical Condition Category) coding and CDI experience
Maryland or compact State RN license required
What You Will Do:Facilitate improvement in overall quality, completeness and accuracy of medical record documentation.
- Complete admission reviews and assigns 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.
Licensure / Certification / Registration:
- One or more of the following required:
- Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
- Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
- Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
- Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date.
- Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date.
- Registered Nurse credentialed from the Maryland Board of Nursing obtained prior to hire date or job transfer date.
Education:
- High School diploma equivalency with 2 years of cumulative experience OR Associate's
degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.
Ascension Saint Agnes in Baltimore, Maryland operates a full-service, 254-bed teaching hospital, the Ascension Saint Agnes Medical Group, Ascension Saint Agnes Imaging Center and Ascension Saint Agnes Foundation. As an associate, you will be a part of a team that is committed to providing a place of respect and inclusion for all associates, as well as a rich learning environment with countless opportunities for career growth and professional development.
Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.
Equal Employment Opportunity Employer:Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran 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.
As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.
Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.
This Ministry does not participate in E-Verify and therefore cannot employ STEM OPT candidates.
Benefits:Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community
*Please note, benefits and benefits eligibility can vary by position, exclusions may apply for some roles (for example: Travel, PRN, Short-Term Option, etc.). Actual compensation offer will vary based upon role, education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics.
Salary Description:From $69,555.20 a year