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RN-Clinical Documentation Specialist, Level 2 reviewer(S)

72% Flex
Remote: 
Full Remote
Work from: 
United States

Offer summary

Qualifications:

Graduate of accredited nursing school., At least two years RN experience..

Key responsabilities:

  • Review medical records for documentation opportunities.
  • Collaborate with physicians on accurate documentation.
  • Participate in team improvement discussions.
  • Stay alert and work safely.
  • Complete assigned duties and tasks.
SSM Health logo
SSM Health XLarge https://www.ssmhealth.com/
10001 Employees
About SSM Health
SSM Health is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through one of the largest integrated delivery systems in the nation.The organization’s 40,000 team members and more than 12,800 providers are committed to providing exceptional health care services and revealing God’s healing presence to everyone they serve. With care delivery sites in Illinois, Missouri, Oklahoma and Wisconsin, SSM Health includes 23 hospitals, more than 300 physician offices and other outpatient and virtual care services, 12 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company and an accountable care organization. It is one of the largest employers in every community it serves. An early adopter of the electronic health record (EHR), SSM Health is a national leader for the depth of its EHR integration.Our Mission: Through our exceptional health care services, we reveal the healing presence of God.Learn more about SSM Health here: http://www.ssmhealth.com/system/about-ssmVisit jobs.ssmhealth.com to fulfill your calling with SSM Health.
See more SSM Health offers

Job description

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MO-REMOTE

Worker Type:

Regular

Job Summary:

Reviews medical record for risk of mortality (ROM) and intensity of services (IOM). Collaborates with physician regarding accurate documentation reflecting the care patient is receiving.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

  • Reviews electronic medical record for principle diagnosis and all CC's (complication or comorbidity) and MCC's (major complication or comorbidity) for documentation opportunities.
  • Collaborates with physicians through queries regarding documentation opportunities.
  • Completes annual education.
  • Active participant with other members of team regarding opportunities for improvement in standard work.
  • Works in a constant state of alertness and safe manner.
  • Performs other duties as assigned.

EDUCATION

  • Graduate of accredited school of nursing or education equivalency for licensing

EXPERIENCE

  • Two years' registered nurse experience


PHYSICAL REQUIREMENTS

  • Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
  • Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
  • Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
  • Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
  • Frequent keyboard use/data entry.
  • Occasional bending, stooping, kneeling, squatting, twisting and gripping.
  • Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
  • Rare climbing.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS 
 
State of Work Location: Illinois 

  •     Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) 

     
State of Work Location: Missouri 

  •     Registered Nurse (RN) Issued by Compact State  
  •     Or 
  •     Registered Nurse (RN) - Missouri Division of Professional Registration 

 
State of Work Location: Oklahoma 

  •     Registered Nurse (RN) Issued by Compact State  
  •     Or 
  •     Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) 

     
State of Work Location: Wisconsin 

  •     Registered Nurse (RN) Issued by Compact State  
  •     Or 
  •     Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services

Work Shift:

Day Shift (United States of America)

Job Type:

Employee

Department:

8746010033 Sys Clinical Documentation Improvement

Scheduled Weekly Hours:

40

SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.

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Experience

Spoken language(s):
English
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