• Ambulatory Clinical Documentation Specialist - RN

    Requisition Post Information* : Posted Date 4 months ago(10/5/2018 2:01 PM)
    Job ID
    Benefits Eligible
    Full-Time Regular
    CBA Code
  • Job Description

    Ambulatory Clinical Documentation Specialist, CMO Office, Full-Time, Day Shift, University of Chicago Medicine in Hyde Park, Chicago, IL


    We're hiring an Ambulatory Clinical Documentation Specialist for the CMO Office in a full-time, day Shift at the University of Chicago Medicine in Hyde Park, Chicago, Illinois!


    The Ambulatory Clinical Documentation Specialist (CDS) is responsible for facilitating improvement in the overall quality and completeness of ambulatory medical record documentation on a concurrent basis. The CDS promotes modifications to medical record documentation to ensure accurate depiction of the level of clinical services provided to the patient and to completely describe patients’ severity of illness. The CDS obtains appropriate clinical documentation through collaborative communications from having developed positive working relationships with physicians, nursing staff, other patient care providers, and the Health Information Management Department Coders.


    The CDS is also responsible for providing informal and formal education to all members of the care team regarding clinical documentation. The outcome will be documentation that accurately and completely captures the clinical picture/severity of illness/complexity of the patient while providing specific and complete information to be utilized in coding, profiling and outcomes reporting of both the facility and the physicians. The CDS utilizes knowledge of national coding guidelines (ICD-10 and CPT), Hierarchical Condition Categories (HCC), standards of compliance, and clinical knowledge to identify opportunities and to achieve results.


    Required Qualifications:

    • License/ Certification: Registered Nurse
    • BS degree minimum.  Masters preferred
    • 5 -8 years progressive work experience;Case Management or Med/Surg or Critical Care Nursing experience preferred.
    • Basic computer skills in word processing and spreadsheet utilization
    • Excellent interpersonal skills necessary to develop and foster effective physician communication
    • Analytic skills necessary to clinically assess medical records
    • Excellent prioritization and organizational skills
    • CCS coding credential strongly preferred.
    • Knowledge of documentation requirements and coding guidelines that pertain to professional procedure and diagnosis coding.

    Why Join Us

    We’ve been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We’re in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you’d like to add enriching human life to your profile, The University of Chicago Medicine is for you. Here at the forefront, we’re doing work that really matters. Join us. Bring your passion.

    Bring your career to the next level at a hospital that is thriving; from patient satisfaction to employee engagement, we are at the Forefront of Medicine. Take advantage of all we have to offer and #BringYourPassiontotheForefront,
    University of Chicago Medicine is growing; discover how you can be a part of this pursuit of excellence at: www.uchospitals.edu/jobs 

    The University of Chicago Medical Center is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.


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