Clin Documentation Spec/UKHC - Military Veterans

Department Name: H4021: Revenue Management - Coding & Documentation

Job Summary:

The Clinical Documentation Specialists review physician documentation to identify the most appropriate DRG . When evidence supports additional diagnoses not documented in a manner that can be used in final ICD -10 codes, Clinical Documentation Specialists clarify with physician staff to make sure diagnoses are appropriately documented in the medical record. This function is vital to capture the most accurate clinical picture of severity of illness, risk of mortality, co-morbidities, and complications. This position also assists in the capture of present on admission diagnoses and early identification of PSI . This position impacts both the LOS and mortality O/E.

This position is HYBRID.

Skills /Knowledge/Abilities:

The ideal candidate will possess strong communication, critical thinking, computer, and interpersonal skills.

Position Time Status: Full-Time

Required Education:

ADN

Required Related Experience:

7 yrs

Required License/Registration/Certification :

Registered Nurse (RN)

Preferred Education/Experience:

BSN and at least five years of nursing experience preferred.

University Community of Inclusion:

We value the well-being of each of our employees and are dedicated to creating a healthy place for everyone to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors the University of Kentucky is a Tobacco & Drug Free campus.

As an Equal Opportunity Employer, we strongly encourage veterans, individuals with disabilities, women, and all minorities to consider our employment opportunities.

Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.