Ascension

RN Clinical Documentation Specialist

Ascension • $84K — $118K *
Cantonment, FL 32533In-Person
Healthcare
5 - 7 years of experience
Today
Be an Early Applicant
Job Overview by Ladders

Qualifications

  • Registered Nurse licensed in Florida required.
  • Accredited nursing diploma or equivalent certification necessary.
  • 5+ years experience in Med/Surg or ICU preferred.
  • Experience in Clinical Documentation Improvement (CDI) is desirable.
  • CCDS certification is a plus.

Responsibilities

  • Complete admission reviews and assign appropriate Diagnosis Related Group.
  • Input working DRG and other pertinent information into the CDI database.
  • Initiate and sustain communication with healthcare providers to enhance medical record details.
  • Collaborate with healthcare teams to accurately document severity of illness and service levels.
  • Maintain meticulous records of review activities and ensure the validity of CDI reports.

Benefits

  • Full-time day shift schedule.
  • Opportunity for remote work.
  • Engagement in collaborative healthcare environment.
  • Support and development opportunities in clinical documentation.
Full Job Description
Your future role at a glance

Location: Pensacola, FL | Remote

Facility: Ascension Sacred Heart

Department: Clinical Integrity Documentation

Schedule: Day Shift | Full Time

Salary Range: $84,060.91 - $118,668.99

How you'll make an impact in this role

  • Complete admission reviews and assign a working Diagnosis Related Group.
  • Ensure the working DRG and other information are entered in the Clinical Documentation Improvement database.
  • Initiate and maintain extensive interactions with physicians and mid-level providers to address the need for more detailed information in the medical record.
  • Collaborate with healthcare professionals to ensure the severity of illness and level of services provided are accurately reflected in the medical record and to resolve physician queries and documentation issues prior to patient's discharge.
  • Maintain accurate records of review activities, ensuring reports and outcomes of CDI efforts are valid.

What minimum requirements you'll need

Licensure / Certification / Registration:

  • Registered Nurse credentialed from the Florida Board of Nursing obtained prior to hire date or job
    transfer date required. Licensed as a Registered Nurse in Florida required. Credentialed from State Board of Nursing
    or current home state license for multi-state license recognition "Compact State" obtained prior to
    hire date or job transfer date required.


Education:

  • Diploma from an accredited school/college of nursing OR Required professional licensure at time of
    hire.

What additional preferences we're seeking

  • 5+ years experience in Med/Surg or ICU
  • CDI Experience
  • CCDS certification preferred


Responsibilities

  • Complete admission reviews and assign a working Diagnosis Related Group.
  • Ensure the working DRG and other information are entered in the Clinical Documentation Improvement database.
  • Initiate and maintain extensive interactions with physicians and mid-level providers to address the need for more detailed information in the medical record.
  • Collaborate with healthcare professionals to ensure the severity of illness and level of services provided are accurately reflected in the medical record and to resolve physician queries and documentation issues prior to patient's discharge.
  • Maintain accurate records of review activities, ensuring reports and outcomes of CDI efforts are valid.


Qualifications

Licensure / Certification / Registration:

  • Registered Nurse credentialed from the Florida Board of Nursing obtained prior to hire date or job
    transfer date required. Licensed as a Registered Nurse in Florida required. Credentialed from State Board of Nursing
    or current home state license for multi-state license recognition "Compact State" obtained prior to
    hire date or job transfer date required.


Education:

  • Diploma from an accredited school/college of nursing OR Required professional licensure at time of
    hire.

About Ascension

Ascension is a healthcare company that provides a range of services, including hospital care, primary care, and specialty care. The company operates more than 150 hospitals and 50 senior living facilities across the United States. Ascension also offers health insurance and other healthcare-related services. The company was founded in 1999 and is headquartered in St. Louis, Missouri.
Learn more about Ascension
Size
165,000 employees
Industry
Healthcare
Founded
1999
* Ladders Estimates

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