Oschner Health System

RN Clinical Documentation Specialist Lead- Remote- Days

Oschner Health System$80K — $95K *
US-AnywhereRemote in New Orleans, LA
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Completion of a formal training program in Nursing is required.
  • 3 years clinical experience in an acute care setting required, including Clinical Documentation Improvement.
  • Current State of Louisiana Registered Nurse License required.
  • Preferred Bachelor's degree in Nursing.
  • Preferred certifications include CCDS or CDIP.

Responsibilities

  • Perform medical record reviews for documentation accuracy and completeness.
  • Communicate effectively with internal and external customers.
  • Provide consultation and education to CDI staff.
  • Support physician and hospital performance improvement initiatives actively.
  • Assist the department manager with ongoing departmental initiatives.

Benefits

  • Opportunities for professional development and training.
  • Supportive work environment conducive to teamwork.
  • Engagement in performance improvement initiatives.
  • Access to educational resources for staff.
  • Flexible workload with varied departmental tasks.
Full Job Description
This job functions as the liaison between the customers of the CDI Department and the CDI Leadership. Acts as a clinical and technical resource to the CDS staff, answering questions and offering guidance on non-administrative issues; observes, reports, prioritizes and re-routes daily workflow of the department according to Operational Standards under the direction of leadership, and maintains responsibility for running operational reports and forwarding key metrics to leadership at regularly scheduled intervals; facilitates special record reviews, projects and other customer requests of the department, and performs other duties as necessary in support of the department.

Education

Required - Completion of a formal training program in Nursing

Preferred - Bachelor's degree in Nursing

Work Experience

Required - 3 years clinical experience in an acute care setting including experience in Clinical Documentation Improvement. Advanced clinical expertise and extensive knowledge of complex disease processes with a broad clinical experience in an inpatient setting.

Certifications

Required - Current State of Louisiana Registered Nurse License

Preferred - Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP)

Knowledge Skills and Abilities (KSAs)
  • Must have computer skills and dexterity required for data entry and retrieval of patient information. Must be proficient with Windows-style applications and keyboard.
  • Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals.
  • Broad-based clinical knowledge and understanding of pathology/physiology of disease processes.
  • Strong organizational skills
  • Excellent written and verbal communication skills
  • Self directed


Job Duties
  • Performs medical record review on patient admission and throughout the stay for documentation completeness and accuracy in accordance with the Clinical Documentation Program requirements
  • Communicates effectively and appropriately with internal and external customers
  • Provides consultation and education to departmental staff.
  • Actively supports and participates in physician/hospital performance improvement initiatives.
  • Assists department manager in departmental initatives as assigned to enhance overall efforts of the department.


Other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

Physical and Environmental Demands

The physical essential functions of this job include (but are not limited to) the following: Frequently exerting 10 to 20 pounds of force to move objects; occasionally exerting up to 100 pounds of force. Physical demand requirements are in excess of those for sedentary work. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Are you ready to make a difference? Apply Today!

Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.

Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C.

About Oschner Health System

Oschner Health System is a non-profit healthcare provider that operates hospitals, clinics, and urgent care centers in Louisiana and Mississippi. The system was founded in 1942 and has grown to become the largest healthcare provider in Louisiana. Oschner Health System is committed to providing high-quality, compassionate care to its patients and is dedicated to improving the health of the communities it serves. The system employs over 26,000 people and has over 4,500 affiliated physicians. Oschner Health System is also a leader in medical research and education, with partnerships with several universities and research institutions.
Learn more about Oschner Health System
Size
26,000 employees
Industry
Founded
1942

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