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RN - Clinical Documentation Specialist - Oncology (Remote)

Role overview

Summary

This role focuses on enhancing clinical documentation quality within the Oncology department at UW Medical Center-Montlake. You will work closely with healthcare providers to ensure accurate documentation for appropriate reimbursement and compliance, while also participating in quality assurance studies and educational initiatives.

Qualifications

  • Current licensure to practice as a Registered Nurse in Washington State.
  • Bachelor's Degree in Nursing.
  • At least 6 years of in-patient Oncology nursing experience.
  • Effective communicator and strong critical thinking and problem-solving skills.
  • Preferred: 2 years of CDI experience; CCDS and/or CDIP certifications desired.

Responsibilities

  • Review clinical documentation and assess its completeness and quality.
  • Facilitate modifications to clinical documentation through communication with healthcare providers.
  • Educate the patient care team on clinical documentation, coding, and reimbursement issues.
  • Lead or participate in Oncology QA studies and assist with special projects.

Key facts

Hard skills

Other skills

  • Critical Thinking
  • Problem Solving
  • Communication

About the company

UW Medicine logo

UW Medicine

  • Hospitals & Health Systems
  • 10,001+
UW Medicine is an integrated clinical, research and learning health system with a single mission to improve the health of the public. Its faculty, staff, students and trainees are dedicated to delivering high- quality patient care and making important discoveries that lead to new approaches for the diagnosis, treatment and prevention of human disease. UW Medicine is home to one of the world’s largest and most comprehensive medical research programs as well as innovative learning programs for students, trainees and practitioners. As the only health system in Washington, Wyoming, Alaska, Montana and Idaho that connects research, education and patient care, UW Medicine provides a higher degree of healthcare, ranging from primary and preventive care to the most specialized care for complex medical conditions. UW Medicine includes Airlift Northwest, Fred Hutchinson Cancer Center, Harborview Medical Center, University of Washington Medical Center—Montlake, University of Washington Medical Center – Northwest, UW Medicine Primary Care, UW Physicians and UW School of Medicine. UW Medicine shares in the ownership of Children’s University Medical Group with Seattle Children’s. A Higher Degree of Healthcare.

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Job description

Job Description

UW Medical Center-Montlake has an outstanding opportunity for a Clinical Documentation Specialist for Oncology (RN).

WORK SCHEDULE

  • Full Time
  • Monday - Friday
  • Remote position

POSITION HIGHLIGHTS

  • Reviews clinical documentation, makes judgments regarding the completeness and quality of that documentation, and facilitates modifications to clinical documentation through communication with physicians, practitioners, and medical records coding staff. 
  • Ensures that pertinent patient conditions and treatments are documented such that appropriate reimbursement is received for the level of acuity and service rendered to all patients using a DRG based payer (Medicare) methodology. 
  • Verifies the accuracy and completeness of clinical information used for measuring and reporting outcomes related to patient care, physician practice and the medical center performance. 
  • Educates all members of the patient care team regarding these aspects of clinical documentation on an ongoing basis.

PRIMARY JOB RESPONSIBILITIES

  • Programmatic responsibility for performing initial and follow up audit and investigation of the medical record and for examining, analyzing and reporting on institutional practices and procedures for compliance with internal and external regulations and policies, efficiency of operations and accuracy of reports and records
  • Confers with physician, coding specialists and others to clarify information, obtain needed documentation, present opportunities and educate for appropriate DRG based on the severity of illness, ensure appropriate DRG and completeness of supporting documentation
  • Educates providers regarding compliance in medical/clinical documentation, coding and reimbursement issues, and performance improvement methodologies.
  • Leads or participates in Oncology QA studies as assigned and assists with special projects as needed.
  • Serves as a member or leads committees and task forces as appropriate.

REQUIREMENTS

  • Current licensure to practice as a Registered Nurse in Washington State
  • Bachelor's Degree in Nursing
  • At least 6 years of in-patient Oncology nursing experience
  • 2 years of CDI experience; CCDS and/or CDIP certifications desired
  • Effective communicator and strong critical thinking and problem-solving skills

Equivalent education and/or experience may substitute for minimum qualifications except when there are legal requirements, such as a license, certification, and/or registration.

ABOUT UW MEDICAL CENTER-MONTLAKE

UW Medical Center is an acute care academic medical center located in Seattle with two campuses: Montlake and Northwest. As one of the top hospitals in Seattle and Washington State since 2012 (U.S. News & World Report) and nationally ranked in multiple specialties, UW Medical Center prides itself on compassionate patient care as well as its pioneering medical advances.

UW Medical Center is proud to be recognized with Magnet Hospital status by the American Nurses Credentialing Center. As a teaching hospital and research center, we're deeply committed to the enhancement of care for our patients-as well as the professional growth of our staff.

The UW Medical Center-Montlake campus is located on the edge of the beautiful UW campus which includes many amenities available to our staff as well as very convenient public transit options including the Sound Transit’s light rail station across the street.

Excellence. Exploration. Education.

Compensation, Benefits and Position Details

Pay Range Minimum:

$126,000.00 annual

Pay Range Maximum:

$172,272.00 annual

Other Compensation:

-

Benefits:

For information about benefits for this position, visit https://www.washington.edu/jobs/benefits-for-uw-staff/

Shift:

First Shift (United States of America)

Temporary or Regular?

This is a regular position

FTE (Full-Time Equivalent):

100.00%

Union/Bargaining Unit:

Not Applicable

ABOUT UW MEDICINE – WHERE YOUR IMPACT GOES FURTHER 


UW Medicine is Washington’s only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine’s mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists and other health professionals. 


All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. 



Our Commitment 


The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81.


To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or dso@uw.edu. 


Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.

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