Baptist Health System - San Antonio TX is seeking a Registered Nurse (RN) Clinical Document Improvement Specialist Level I for a nursing job in San Antonio, Texas.
Job Description & Requirements\n
This position may qualify for a sign-on bonus.
\nSUMMARY:
\n Responsible for improving overall quality and completeness of clinical documentation. Performs concurrent record reviews on all selected admissions and documents findings. Facilitates modifications to clinical documentation to accurately reflect patient severity of illness and risk of mortality through extensive interaction with physicians, case management, nursing staff, other patient care givers and health information management coding staff. Ensures the accuracy and completeness of clinical information used for measuring andreporting physician and hospital outcomes. Maintains accurate record of review activities to comply with departmental and regulatory agency guidelines. Understands and complies with policies and procedures related to confidentiality of medical records. Identifies opportunities for interdepartmental and intradepartmental operational improvements. Participates in program related meetings, physician and staff education, staff development, departmental activities and in-service opportunities. Completes established competencies for the position within designated introductory period. Other related duties as assigned.
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Baptist Health System - San Antonio Job ID #2503030968. Posted job title: Specialist Clinical Documentation I (CDI Specialist)
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