RN – Clinical Documentation Specialist, Oncology
Job Description:
- Review clinical documentation and judge its completeness and quality
- Facilitate clinical documentation modifications through communication with physicians, practitioners, and medical records coding staff
- Ensure pertinent patient conditions and treatments are documented for appropriate reimbursement using DRG-based Medicare methodology
- Verify the accuracy and completeness of clinical information used to measure and report patient care, physician practice, and medical center outcomes
- Educate patient care team members about clinical documentation
- Perform initial and follow-up audits and investigations of medical records
- Examine, analyze, and report on institutional practices and procedures for compliance, operational efficiency, and record accuracy
- Confer with physicians, coding specialists, and others to clarify information and obtain documentation
- Educate providers on documentation, coding, reimbursement, and performance improvement methodologies
- Lead or participate in Oncology QA studies and special projects
- Serve on or lead committees and task forces
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
- 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
Benefits:
- Benefits information provided via UW staff benefits page
- Regular full-time position
- First shift schedule
- Remote (100% telework)
- Professional growth opportunities
- Public transit options including Sound Transit light rail access
