Description

Registered Nurse (RN) Clinical Documentation Specialist – SPOKANE MAIN TOWER MAIN at Providence Sacred Heart Medical Center – Spokane, WA

Schedule : This is a REMOTE Full Time 40-hour position working 8-hour day shifts

The Clinical Documentation Specialist (CDS) is responsible for supporting and facilitating the overall quality of medical record documentation by improving the completeness, accuracy, and reliability of clinical documentation. A key success factor of this process is educating providers through the query process and independently supporting them with education and feedback to accurately reflect the patient's true clinical picture within the medical record. In partnering with the coding team, the CDS will be an expert with ICD-10, MS-DRG and APR-DRG assignment.

The CDS's primary responsibility will be to obtain appropriate clinical documentation through extensive review of provider, nursing, ancillary, and other patient caregivers documentation, to ensure that appropriate documentation and reimbursement is received for the level of services rendered to patients. The CDS exercises their judgment and discretion to ensure the clinical information utilized in analyzing and reporting outcomes is complete and accurate. On an ongoing basis, the CDS is responsible for supporting the direction and focus of education for providers and the coding staff within their assigned scope of work. The CDS must exercise independent judgment, critical thinking, ability to work independently while interpreting and following CMS guidelines, organizational policies, and procedures.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Sacred Heart Medical Center & Children's Hospital and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications:

Associate's Degree - Associate of Science in Nursing.
Washington Registered Nurse License upon hire.
Registered Nurse License from state of residence upon hire.
5 years - Clinical experience in acute care setting within the last 5 years, OR 2-3 years Clinical Documentation Integrity experience.

Preferred Qualifications:

Bachelor's Degree - Bachelor of Science in Nursing.
Registered Health Information Administrator (RHIA) upon hire.
Registered Health Information Technician (RHIT) upon hire.
Certified Coding Specialist (CCS) upon hire.
Certified Documentation Specialist (CCDS) upon hire.
Certified Documentation Improvement Practitioner (CDIP) upon hire.
Certified Processional Coder (CPC) upon hire.
1 year - Understanding of MS-DRG and APR-DRG assignment and fundamentals of establishing a DRG.
1 year - ICD-10 experience and/or understanding
1 year - Clinical Documentation Specialist experience in acute care setting

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Check out our benefits page for more information about our Benefits and Rewards.

About the Team

Providence has been serving the Inland Northwest since 1886 when Mother Joseph and the Sisters of Providence founded Sacred Heart Medical Center. Today, Providence is the largest health care provider in Washington located in communities large and small across the state. In eastern Washington, Providence provides care throughout Spokane, Stevens and Walla Walla counties.

Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID: 310237

Company: Providence Jobs

Job Category: Documentation Management

Job Function: Quality/Process Improvements

Job Schedule: Full time

Job Shift:

Career Track: Nursing

Department: 3040 CLINICAL DOCUMENTATION WA SHMC SPOKANE MAIN TOWER MAIN

Address: WA Spokane 101 W 8th Ave

Work Location: Sacred Heart Medical Center-Spokane

Pay Range: $40.13 - $74.20

Check out our benefits page for more information about our Benefits and Rewards.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits

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RN Clinical Documentation Specialist - REMOTE