Providence Health & Services

Clinical Documentation Specialist RN

Providence Health & Services$75K — $95K *
Hospitals & Medical Centers
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Associate's Degree in Science in Nursing
  • Registered Nurse License upon hire
  • 5 years of RN experience in acute care within the last 5 years OR 2-3 years of Clinical Documentation Integrity experience
  • Experience in acute care setting required.

Responsibilities

  • Support the quality of medical record documentation
  • Facilitate improved completeness and accuracy of clinical documentation
  • Educate healthcare providers through the query process
  • Provide education and feedback to reflect true clinical picture
  • Collaborate with the coding team to ensure accurate assignments
  • Utilize expertise in ICD-10, NS-DRG, and APR-DRG assignments

Benefits

  • 401(k) retirement savings plan with employer matching
  • Comprehensive healthcare benefits (medical, dental, vision)
  • Life and disability insurance
  • Paid time off for parental leave, vacations, and health issues
  • Access to well-being resources and voluntary benefits
Full Job Description
Job Description

The Clinical Documentation Specialist (CDS) is responsible for supporting and facilitating the overall quality of medical record documentation by improving the completeness, accuracy, and reliability of clinical documentation. A key success factor of this process is educating providers through the query process and independently supporting them with education and feedback to accurately reflect the patient's true clinical picture within the medical record. In partnering with the coding team, the CDS will be an expert with ICD-10, NS-DRG and APR-DRG assignment.

Required Qualifications:
  • Associate's Degree in Associate of Science in Nursing
  • Upon hire: Registered Nurse License
  • 5 years of experience as an RN in acute care setting within the last 5 years OR 2-3 years Clinical
  • Documentation Integrity experience in acute care setting.

Preferred qualifications:
  • Bachelor's Degree in Bachelor of Science in Nursing or a Bachelor of Science degree in healthcare or other related field.
  • 5 years of Hospital experience in ICU, ED or Medical/Surgical
  • 1 year of Understanding of MS-DRG and APR-DRG assignment and fundamentals of establishing a DRG.
  • 1 year of ICD-10 experience and/or understanding

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

About the Team

Providence has been serving the Pacific Northwest since 1856 when Mother Joseph and four other Sisters of Providence arrived in Vancouver, Washington Territory. Today, Providence is the largest health care provider in Washington located in communities large and small across the state. In western Washington, Providence provides care throughout the greater Puget Sound from Snohomish County to Lewis County.

Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.

About Providence Health & Services

Providence Health & Services is a not-for-profit Catholic health care system operating multiple hospitals across five states in the Western United States. The system was founded in 1856 by the Sisters of Providence. Providence Health & Services is the largest health care provider in Washington state, employing more than 35,000 people across its hospitals, clinics, and other facilities. The system is known for its focus on community health and wellness, and has been recognized for its commitment to quality care and patient safety. Providence Health & Services is also a leader in medical research and education, with a number of partnerships with universities and other institutions.
Learn more about Providence Health & Services
Size
120,000 employees
Industry
Founded
1859

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