Registered Nurse - CDI Second Level Reviewer

Job Description

UW Medical Center - Montlake has an outstanding opportunity for a Second Level Review Clinical Documentation Integrity Specialist (RN). WORK SCHEDULE

• Full-Time, Days
• Remote position

POSITION HIGHLIGHTS Following established policies, procedures, and professional guidelines, the Second Level Review Clinical Documentation Integrity Specialist provides industry expertise on focused accounts that are set by the direction of CDP leadership to ensure high quality standards are met for risk adjustment, DRG accuracy, SOI and ROM. DEPARTMENT DESCRIPTION The Clinical Documentation Program review inpatient medical records to ensure provider documentation accurately reflects patient severity of illness (SOI), acuity of care needs, risk of mortality (ROM) and the quality of treatment provided. ​ PRIMARY JOB RESPONSIBILITIES

• Reviews target DRGs, which is an evolving workflow. This review may focus on various elements including, but not limited to, CC/MCC capture rate and risk adjustment review. 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 methodology.
• Coordinate CDI education for medical staff. Collaborate with CDI Physician Advisor.
• Participates in various projects and initiatives within the Clinical Documentation Program.
• Based on findings, department goals and initiatives, and industry expectation, the SLR CDIS will participate in the education and evaluation of the CDI team regarding findings and opportunities for documentation improvement in their record review.
• Collaborate with medical records coding staff, patient financial services (PFS) and compliance for Clinical Validation Denial appeals.
• Compliance with internal and external regulations and policies.
• Self-directed initiative for independent education with current evidenced-based practices.

REQUIREMENTS

• Current WA RN License or compact RN license
• Minimum of 6 years of experience in an acute inpatient hospital setting as a registered nurse, with in-depth knowledge of medical and surgical care. ER or ICU experience preferred.
• Minimum of 5 years of experience in Clinical Documentation Integrity role; CDI leadership/educator/physician education experience preferred
• Risk adjustment experience required (Vizient and Elixhauser preferred)
• Denial/Appeal experience preferred
• Required current certification CCDS or CDIP. Coding certification preferred.

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 the No. 1 hospital in Seattle and Washington State since 2012 (U.S. News & World Report) and nationally ranked in seven specialties, UW Medical Center prides itself on compassionate patient care as well as its pioneering medical advances. 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. 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, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. Become part of our team. Join our mission to make life healthier for everyone in our community. Compensation, Benefits and Position Details Pay Range Minimum: $120,000.00 annual Pay Range Maximum: $165,600.00 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 the UW Working at the University of Washington provides a unique opportunity to change lives – on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. 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 [email protected]. 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. Apply tot his job Apply To this Job