RN, Clinical Documentation Integrity

Denver Health • $82K — $127K *

Denver, CO 80219In-Person

Healthcare

Less than 5 years of experience

Today

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Job Overview by Ladders

Qualifications

Associate's Degree in Nursing
6 years of nursing experience in a hospital environment
3 years of experience in clinical coding, case management, or physician education
Registered Nurse (RN) license from DORA
Knowledge of clinical documentation and coding concepts

Responsibilities

Perform concurrent and retrospective reviews of patient records for accuracy and compliance
Track audits and provide results to stakeholders
Educate providers on documentation standards
Provide feedback to providers based on audit results
Collaborate with various departments to enhance documentation integrity

Benefits

28 days of paid time off per year
100% paid parental leave for up to 6 weeks
Immediate eligibility for retirement plans with up to 9.5% employer contribution
Comprehensive medical, dental, and vision plans
Access to on-site fitness center and wellness programs
Free public transportation pass
Tuition reimbursement and assistance
Career growth opportunities through development programs
Public Service Loan Forgiveness eligible employer
Support for navigating student loan forgiveness programs

Full Job Description

We are recruiting for a mission-driven RN, Clinical Documentation Integrity to join our team!

Department
REVENUE INTEGRITY

Job Summary

Under general supervision performs concurrent and retrospective reviews as requested by the Clinical Documentation Integrity Manager or Director. Responsible for selected assignments based on internal or external department requests. Responsible for educating providers regarding documentation specificity, accuracy, compliance and are permitted to query physicians as deemed necessary. Collaborates with Coding, Health Information Management (HIM), Patient Safety and Quality, Enterprise Compliance Services and other departments to promote the common goal of obtaining accurate documentation in the patient's record. Must participate in continuous education on ICD-10, clinical medicine, Center of Medicare and Medicaid (CMS) and other billing carriers, as well as coding guidelines and policies.

Essential Functions:

Concurrent and/or retrospective review of designated inpatient, outpatient, and ambulatory patient records to assess for accuracy, specificity, and compliance of provider documentation. (20%)
Tracking audits performed and audit results obtained in order to provide meaningful data to key stakeholders. (20%)
Educating providers regarding documentation accuracy, specificity, and compliance with rules and regulations. (20%)
Providing pertinent feedback to providers on audit results as necessary. (20%)
Working collaboratively with Coding, Health Information Management (HIM), Patient Safety and Quality, Enterprise Compliance Services, and other departments to promote the common goal of obtaining accurate documentation in the patient record. (20%)

Education:

Associate's Degree Required

Work Experience:

4-6 years Six years of experience as a nurse in a hospital environment Required and
4-6 years Three of the six years with the appropriate level of experience in one or a combination of the following medical documentation related function: clinical coding, case management, DRG coordination, physician education, Medicaid/Medicare reimbursement. Required

Licenses:

RN-Registered Nurse - DORA - Department of Regulatory Agencies Required

Knowledge, Skills and Abilities:

Must be able to demonstrate knowledge of the pathophysiology of the disease process.
Must be able to demonstrate clinical expertise in areas of urgent/emergent, medical/surgical, obstetrical, pediatric, and ambulatory care.
Must be able to communicate and interact tactfully with physicians and other professionals by expressing ideas clearly and concisely and addressing audiences effectively.
Ability to read and interpret professional journals, financial reports, and legal documents as necessary.
Ability to define problems collects and summarizes data, establish facts and draw conclusions.
Possesses knowledge of clinical documentation and coding concepts, DRG assignments, Inpatient Prospective Payment System (IPPS) and CMS rules and regulations.
Must also be able to demonstrate knowledge including but not limited to, value-based purchasing, bundled payments, accountable care organizations and readmission reduction program.
Microsoft Office Excel and SharePoint
Variety of documentation and coding programs.

Shift
Days (United States of America)

Work Type
Regular

Salary
$82,500.00 - $127,900.00 / yr

Benefits

At Denver Health, we take care of the people who take care of our community. Our benefits are built to support your life, your family, and your future - with generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs. We invest in your growth through tuition assistance, career advancement pathways, and professional development - while also offering meaningful financial advantages through loan forgiveness eligibility and employer contributions. When you join Denver Health, you're joining a mission-driven organization that invests in you.

Here is a small list of our benefit programs:

Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
100% paid parental leave up to 6 weeks
Immediate eligibility for retirement plans with employer contribution up to 9.5%
Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
Free RTD EcoPass (public transportation)
Childcare discount programs & exclusive perks on large brands, travel, and more
Tuition reimbursement & assistance
Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

About Denver Health

Denver Health stands as a beacon of healthcare excellence in Denver, Colorado. Denver’s comprehensive healthcare system offers an array of high-paying jobs and rewarding career opportunities. This integrated network, encompassing a premier hospital, a series of community health centers, and a robust public health department, serves as the city's primary safety net institution. As a Level One Trauma Center with specialized pediatric and neonatal intensive care units, Denver Health is not only pivotal in providing critical care but also plays a significant role in medical education, being affiliated with the University of Colorado School of Medicine.

Overview of Denver Health Careers

A Diverse Range of Healthcare Roles

Denver Health careers span a wide spectrum, from clinical roles in nursing and specialized medicine to administrative and support positions. As a teaching hospital, it offers a unique environment for professional growth, blending patient care with educational opportunities.

Available Job Opportunities

High-Demand Positions

Among the highest paying and most sought-after positions at Denver Health are Psychologist, Psychiatrist, and Licensed Therapist roles. This reflects the system's comprehensive approach to mental health services alongside its medical offerings.

Nursing and Clinical Staff

Opportunities in nursing and other clinical areas offer the chance to work directly with a diverse patient population. And of course, nursing and clinical staff are supported by state-of-the-art facilities and a network of community clinics.

Administrative and Support Roles

From medical billing specialists to healthcare administrators, Denver Health provides a variety of non-clinical positions essential to the smooth operation of the healthcare system.

Qualifications and Requirements

Ensuring the Highest Standards of Care

Denver Health seeks healthcare professionals who possess the necessary skills and experience and are committed to excellence in patient care and continuous learning.

Education and Certification

For clinical positions, specific degrees, certifications, and licenses are required, reflecting the level of expertise and specialization needed to meet the healthcare needs of the Denver community.

Application Process

Steps to Joining Denver Health

The journey to a career at Denver Health begins with a straightforward application process designed to identify candidates who align with the system's values and standards of care.

Submitting Your Application

Candidates can apply through Denver Health's online job portal, where current vacancies are listed. A detailed resume and cover letter tailored to the specific position are crucial components of the application.

Interview Tips and Techniques

Standing Out as a Candidate

Succeeding in the interview requires preparation and an understanding of what Denver Health values in its staff—a dedication to patient care, teamwork, and professional integrity.

Demonstrating Your Fit

Be ready to discuss how your skills, experience, and values align with the mission of Denver Health. Prepare examples from your past work that showcase your ability to contribute positively to the healthcare system.

Training and Development Programs

Commitment to Continuous Professional Growth

Denver Health offers extensive training and development programs, supporting its staff in achieving their highest potential and ensuring the delivery of top-quality care.

Advancing Your Skills

From on-the-job training to formal education programs, employees have opportunities to enhance their clinical skills, leadership abilities, and overall knowledge of healthcare practices.

Benefits and Compensation Packages

Rewarding Your Contribution

Denver Health offers competitive benefits and compensation packages, acknowledging the hard work and dedication of its employees with rewards that reflect their value to the healthcare system.

Comprehensive Benefits

Employees enjoy a range of benefits, including health insurance, retirement plans, and paid time off, alongside opportunities for bonuses and salary advancements based on performance and experience.

Employee Testimonials and Success Stories

From Our Staff to You

Hearing directly from Denver Health employees provides insight into the supportive work environment, career advancement opportunities, and the personal satisfaction derived from making a difference in the lives of patients.

Making an Impact

Employee stories highlight the rewarding nature of work at Denver Health, where every staff member plays a critical role in providing care and improving community health.

Career Advancement Opportunities

Pathways to Professional Development

Denver Health is committed to the career advancement of its employees, offering various pathways for professional development, from leadership roles within the nursing staff to specialized medical positions and administrative leadership.

Contacts and Resources for Further Information

Navigating Your Denver Health Career Path

For more detailed information about careers, the application process, or specific job openings at Denver Health, prospective applicants are encouraged to utilize the following resources:

Denver Health Careers Page

The primary resource for current job listings, application guidelines, and comprehensive information about working at Denver Health.

Further Assistance

For specific questions not addressed on the website, potential applicants can contact Denver Health's HR department directly through the provided contact details on the careers page.

Learn more about Denver Health

Size

7,000 employees

Industry