Registered Nurse Clinical Documentation Specialist

Your future role at a glance

Location: Remote

Facility: Ascension Wisconsin Hospitals

Department: Clinical Integrity Documentation

Schedule: Days | Full-Time

Salary Range: $79,511.52-$110,834.59

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 requirements you’ll need

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.
  • Licensed Registered Nurse credentialed from the Wisconsin Board of Nursing or current home state license for multi-state license recognition "Compact State" 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.

• 5 or more years of nursing experience in ICU and/or Emergency Department
• Previous Clinical Documentation Specialist experience

Benefits that help you thrive

Life at Ascension: Where purpose meets opportunity

Ascension Wisconsin has been providing rewarding careers to healthcare professionals since 1848. Operating a network of hospitals, clinics and sites of care from Racine to Appleton, you will find opportunities that allow you to create a career path you'll love, all while delivering innovative care to the communities we serve.

Ascension is a leading non-profit, faith-based national health system made up of thousands of associates delivering compassionate, personalized care across hospitals, clinics and senior living communities.

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. At Ascension, you are part of a bigger story of care.

Equal Employment Opportunity