Northwest Medical Center Tucson
Location TUCSON, AZ (Northwest Medical Center Tucson)
Department Health Information Manage
Field Health Information Mgmt
The position supports Northwest Healthcare System hospitals working 1-2 shifts weekly on the weekends. Implements clinical documentation improvement (CDI) activities in an effort to support accuracy and quality of the patient records at CHS facilities and to ensure that coded diagnoses are an accurate reflection of the patient’s clinical status and care.
The position supports Northwest Healthcare System hospitals working 1-2 shifts weekly on the weekends.
Implements clinical documentation improvement (CDI) activities in an effort to support accuracy and quality of the patient records at CHS facilities and to ensure that coded diagnoses are an accurate reflection of the patient’s clinical status and care.
The role of the CDI specialist involves reviewing the medical record documentation and clinical indicators and working with providers to ensure a complete and accurate medical record. An accurate medical record is important for the patient, for continuity of care by the next provider, and to demonstrate high quality care by the physician and the hospital. The CDI Specialist will identify potential gaps in clinical documentation for inpatient and payer populations as directed throughout the hospitalization. He/she will also educate physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record.
ADN or Diploma in Nursing Program, BSN preferred.
Must possess at least five years of acute hospital nursing experience (e.g. medical/surgical unit, intensive care).
Experience in Utilization Management/Case Management, Critical Care, patient outcomes/quality management and/or inpatient coding, ICU/Critical Care, clinical documentation improvement, ICD coding and MS-DRGs, working in a clinical documentation improvement department or as a consultant and minimum of one (1) year auditing experience ."
"Must possess a comprehensive knowledge of medical terminology, disease processes and clinical competency. Candidate must possess excellent interpersonal, collaboration and relationship-building skills. Strong critical thinking skills and ability to integrate knowledge is necessary. Prioritization and organizational skills required. Must exhibit the ability to educate members of the healthcare team about clinical documentation. Individual must demonstrate data quality and integrity skills.
To perform this job successfully, an individual should have strong working knowledge of word processing software, spreadsheet software and reporting software. Also, experience working with encoder software, clinical documentation improvement software and the electronic medical record is preferred.
English is required for both verbal and written communication. Ability to communicate effectively at a high level is required."
"Required: Current Arizona RN license or compact state license.
Preferred: RHIT, RHIA, CDIP, CDIS, CCDS, CCS and ICD-10 certification or designation. "
Northwest Healthcare is a multi-faceted network dedicated to providing safe, quality care at each of our locations. With three (soon to be four) hospitals, two freestanding emergency centers, four urgent care locations and a large physician practice including primary care and a variety of specialists, Northwest Healthcare offers you a wide range of settings in which to work. Common among them all is not only the commitment to providing safe patient care, but to employee satisfaction and growth. It is a culture of teamwork, respect and appreciation for all employees—whether caring for patients directly or working in a support role. NWHC is accredited by The Joint Commission and is an equal opportunity employer: race, gender, disability and Veteran status, and VEVRAA Federal Contractor – priority referral Protected Veterans requested.