Senior Clinical Documentation Specialist ID 190137

**POSITION:**Senior Clinical Documentation Specialist **SCHEDULE:**Full Time - Eligible for Benefits Day 8AM-5 PM **LOCATION:**Reno NV SALARY: Will discuss with applicant TO APPLY: Direct Link: -https://www.renown.org/careers/190137-senior-clinical-documentation-specialist Career Page: -https://www.renown.org/Careers/ Please note, employers may close jobs on the website at any time. SUMMARY: This position is responsible for assisting in the daily operation of the Clinical Documentation Improvement (CDI) team and fulfills all assignments relative to the clinical documentation improvement specialist. The clinician will help direct the daily responsibilities of the clinical documentation improvement specialists and fulfill responsibilities of a clinical documentation improvement specialist including reviewing medical records and identify potential DRG assignment based on clinical indicators to improve the quality of documentation ensuring compliance established by State and Federal Regulations. JOB REQUIREMENTS: Ability to read, write, speak, and understand English sufficiently to perform job duties safely and effectively. A bachelor's degree in a related field is required or equivalent experience in lieu of degree. Minimum 5 years acute hospital experience working as a Registered Nurse required. Knowledge of ICD system preferred. Leadership experience preferred. Ability to obtain and maintain a State of Nevada Registered Nurse license or licensure from state in which they have residency. Certified Clinical Documentation Specialist (CCDS) by ACDIS or Certified Documentation Improvement Professional (CDIP) by AHIMA is required at time of hire. Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and Word. Must have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. JOB RESPONSIBILITIES/DUTIES: Assisting in the daily operation of the Clinical Documentation Improvement by directing daily assignments. Answering questions from the CDI team. Providing direction when problems are encountered. Orienting new CDI specialists. Assisting the CDI director in providing CDI education. Maintaining the CDI software (CDMP) access and use by the users. Reviewing and analyzing health records to identify relevant diagnoses and procedures for distinct patient encounters. Translating diagnostic phrases utilized by healthcare providers into coded form. Interacting with healthcare providers to ensure terms have been translated correctly. Assigning the appropriate DRG after concurrent review of the medical record. Locating information in the medical record to support or provide specificity for DRG. Remaining aware of continual changes in Federal and State regulations for prospective payment. Keeping informed of changes in treatment modes and new procedures. Performing coding when physician documentation is vague or missing. WORK ENVIRONMENT/PHYSICAL DEMANDS: This position does not provide patient care. BENEFITS: Education Assistance Paid Time Off 401(k) Company Match Flexible Work Environment