Clin Documentation Sdepec/UKHC

Job Title
Clin Documentation Sdepec/UKHC


Requisition Number
RE47920


Working Title
Clinical Documentation Specialist


Department Name
H4021: Revenue Management - Coding & Documentation


Work Location
Lexington, KY


Grade Level
11


Salary Range
$54,080-95,056/year


Type of Position
Staff


Position Time Status
Full-Time


Required Education

ADN



Click here for more information about equivalencies:
https://hr.uky.edu/employment/working-uk/equivalencies


Required Related Experience

7 yrs



Required License/Registration/Certification

Registered Nurse (RN)



Physical Requirements

The physical requirements of this position include: lifting, pushing, and/or pulling objects up to 10lbs; regularly walking or standing with objects up to 10lbs; regularly sitting at a computer workstation for extended periods of time with repetitive motions (such as typing); and occasional (<10% of the time) job-related travel.



Shift

Day shift Monday through Friday



Job Summary

The Clinical Documentation Specialists review physician documentation to identify the most appropriate DRG. When evidence supports additional diagnoses not documented in a manner that can be used in final ICD-10 codes, Clinical Documentation Specialists clarify with physician staff to make sure diagnoses are appropriately documented in the medical record. This function is vital to capture the most accurate clinical picture of severity of illness, risk of mortality, co-morbidities, and complications. This position also assists in the capture of present on admission diagnoses and early identification of PSI. This position impacts both the LOS and mortality O/E.

THIS POSITION IS HYBRID.



Skills / Knowledge / Abilities

The ideal candidate will possess strong communication, critical thinking, computer, and interpersonal skills.



Does this position have supervisory responsibilities?
No


Preferred Education/Experience

BSN and at least five years of nursing experience preferred.



Deadline to Apply
11/05/2024


Our University Community

We value the well-being of each of our employees and are dedicated to creating a healthy place for everyone to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors the University of Kentucky is a Tobacco & Drug Free campus.

As an Equal Opportunity Employer, we strongly encourage veterans, individuals with disabilities, women, and all minorities to consider our employment opportunities.

Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.