Clinical Documentation Specialist II

Welcome to Centura Health

Welcome to the largest health ecosystem in Colorado and western Kansas. Welcome to living your mission among thousands of people on fire to live theirs too. Welcome to options, possibilities and values that guide exceptional care. Welcome to extremely important industry challenges and opportunities to solve complex problems. Welcome to highly intelligent teams, overflowing community and the wholeness of mind, body and spirit that is Centura Health.

Pay Range

$36. 04 - $49.47/hr

Flourishing Begins Here

You have a purpose, unique talents and NOW is the time to embrace it, live it and put it to work. At Centura Health, we value incredible people with incredible skills - but your commitment to a greater cause is something we value even more.

The Clinical Documentation Integrity Specialist (CDIS) II is a registered nurse with a broad clinical knowledge base and excellent understanding of clinical documentation improvement strategies and requirements. The CDIS II serves as a CDI subject matter expert to follow developments in clinical documentation and provide support to colleagues, CDI Team Leaders, CDI Manager, and in collaboration with the CDI Lead Educators and Quality Liaison. The CDIS II will contribute to content development, education and training materials, and ongoing service line documentation improvement initiatives.

Under indirect supervision, the CDIS II facilitates and obtains appropriate provider documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of patient care. Educates members of the patient care team regarding clinical documentation guidelines and regulatory requirements, including attending physicians, allied health practitioners, nursing, coding and case management. Supports timely, accurate, and complete documentation of clinical information used for measuring and reporting hospital and physician-based outcomes. Will identify quality of care issues in documentation and will seek resolution of issues through appropriate channels. Works independently majority of the time with a high degree of autonomy. Position may include remote working rotation.

What You Bring/Job Requirements

In addition to bringing your whole self to the workplace each day, qualified candidates will need the following:

• 3 years nursing experience in the inpatient hospital setting (critical care and/or strong med/surg experience preferred).
• Experienced Clinical Documentation Improvement (CDI) Specialist or equivalent clinical experience with demonstrable CDI subject matter expertise.
• Must demonstrate Clinical competency through successfully passing Clinical Competency exam through Nuance.
• Must demonstrate CDI software competency through passing
• Clintegrity exam within 6 months of starting role.
• Experience in health information management or hospital quality program is beneficial (not required)
• Demonstrates ability to construct clinically valid, clear, and concise clarifications with provider response rates in concordance with expertise.
• Demonstrates ability to meet CDI program benchmarking standards.
• Qualified candidate will be self-motivated with excellent interpersonal, critical thinking, analytical, organizational, and writing skills.
• Proficiency with MS Office software.
• Proficient in use of Electronic Health Record.
• Nursing Diploma or Associates Degree Required
• BSN, preferred
• RN license in state of employment, required.
• Clinical Documentation Specialist, preferred.
• CDIP from AHMA, preferred

Physical Requirements-Sedentary work -(prolonged periods of sitting and exert up to 10lbs force occasionally)

Your Connected Community

When people and places align, incredible things happen. Just like the 21,000+ amazing associates who work here, every community within Centura Health's connected ecosystem has its own unique history, story and personality.

Caring for Your Whole Well Being

We're committed to delivering whole person care and understand that a comprehensive benefits package will enrich the lives of our associates at work and at home. At Centura Health, we offer incredible benefits that impact mind, body, and spirit to eligible associates. Our total rewards are designed with your well-being in mind and may include:

• 401K, which includes matching when eligible
• Three Health Insurance Plan Options including covering eligible dependents
• Two Dental Insurance Plan Options including covering eligible dependents
• Vision Insurance including covering eligible dependents
• Daycare & Medical Flexible Spending Account Options
• Leaves of Absence, Short Term Disability, and Long Term Disability
• Life Insurance and Spouse & Child/Dependent Life Insurance Coverage Options
• Voluntary Benefits including Hospital Indemnity Coverage, Critical Illness, Accident, Permanent Life insurance, and Norton LifeLock
• Paid Time Off & Sick Pay
• Shift Differentials
• Employee Wellness Resources
• Employee Assistance Programs
• Tuition Reimbursement
• Relocation assistance based on location
• Associate Discounts for Phone, Cell Phone Plans, Auto Insurance, Home Insurance, Auto Buying, Pet Insurance, and much more...

The pay rate for this position is listed above and varies based on experience, skills, and comparison to others who are already in this role. *If you do not see the pay range for this position listed, you are on a third party job board. All of our pay ranges are clearly posted on our careers site www.centura.org/careers. Please visit our Careers page and apply today!