RN Clinical Documentation Specialist Lead- Remote- Days

Ochsner Health • Auburn, AL

13d • Remote

About The Position

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! 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. Ochsner Health is the leading not-for-profit healthcare provider in the Gulf South, delivering expert care at its 46 hospitals and more than 370 health and urgent care centers. For 12 consecutive years, U.S. News & World Report has recognized Ochsner as the No. 1 hospital in Louisiana. Additionally, Ochsner Children’s has been recognized as the No. 1 hospital for kids in Louisiana for three consecutive years. Ochsner inspires healthier lives and stronger communities through a combination of standard-setting expertise, quality and connection not found anywhere else in the region. In 2023, Ochsner Health cared for more than 1.5 million people from every state in the nation and 65 countries. Ochsner’s workforce includes more than 38,000 dedicated team members and over 4,700 employed and affiliated physicians. To learn more about how Ochsner empowers people to get well and stay well, visit https://www.ochsner.org/. Ochsner Health is proud to be an Employer of Choice. Ranked one of Newsweek's list of America's Greatest Workplaces for Diversity of 2024 Becker's Healthcare listed Ochsner Health as 150 Top Places to Work in Healthcare Awarded Culture Awards for Purpose and Values and Healthcare Industry by Top Workplace Ranked as a 2023 Top Workplace in the USA! The Top Workplaces USA award is based entirely on feedback from an employee engagement survey completed by the employees of participating workplaces. Awarded Top Work Places 2023 for six consecutive years by The Times-Picayune Earned 2022-2023 Great Place to Work Certification™ Ochsner Health named to Newsweek's America's Greatest Workplaces for Parents and Families 2023 Opportunities listed here represent open positions at Ochsner Health and Ochsner Health managed entities.

Requirements

• Completion of a formal training program in Nursing
• 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.
• Current State of Louisiana Registered Nurse License
• 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

Nice To Haves

• Bachelor's degree in Nursing
• Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP)

Responsibilities

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed