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Registered Nurse - Clinical Documentation Integrity Specialist

Ansible Government Solutions
Full-time
On-site
Nashville, Tennessee, United States
Registered Nurse - Clinical Documentation Integrity Specialist
Overview

Ansible Government Solutions, LLC (Ansible) is currently recruiting CDI Nursing Advisor at the Lt. Col. Luke Weathers, Jr. VA Medical Center located at 116 North Pauline St, Memphis, TN 38104. The schedule is typically Monday-Friday, 7:30am-4pm. If you accept employment with Ansible, you must also acknowledge that any assigned schedule is subject to change at the direction of either Ansible or its customers.

Ansible is a Service-Disabled Veteran-Owned Small Business (SDVOSB) providing Federal customers with solutions in many arenas. Our customers face wide-ranging challenges in the fields of health care, national security, and information technology. To address these challenges, we employ intelligent and committed staff who take care of our customers’ success as if it is their own.

Responsibilities

Act as the Registered Nurse Advisor for the facility's CDI program, focusing on both inpatient and outpatient services

Review health records concurrently to identify opportunities for improved documentation and coding accuracy using clinical knowledge and critical thinking skills

Support CDI activities by applying the nursing process to data gathered by the CDI team, reviewing it for clinical validation, trends, and opportunities for improvement

Communicate findings to the CDI team, providers, and other departments as appropriate

Collaborate with healthcare providers through written, verbal, or electronic clarification requests or queries

Develop and implement the facility's CDI management program, including charter, Standard Operating Procedures (SOPs/SOW), workflow, and turnaround time compliance

Focus on updating problem lists or Scientific Nomenclature of Medicine – Clinical Terminologies (SNOMED-CT) consistent with ICD-10 CM code sets

Conduct concurrent or retrospective reviews of health records to clarify clinical questions and identify potential query opportunities

Develop and deliver active training/education programs for clinical staff about current documentation standards and improving techniques

Provide self-directed support to clinical staff, patients, and families throughout the continuum of care

Generate weekly, bi-monthly, and monthly reports as required by the COR

Maintain performance metrics in accordance with VHA requirements

Participate in collaborative meetings and CDI-specific program initiatives

Qualifications

Bachelor's degree in Nursing from an accredited program

Current, full, active and unrestricted RN license in any State, Territory, or Commonwealth of the United States

Minimum of two years' experience working as a CDI specialist in a hospital setting

Certification from American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC) and/or Association of Clinical Documentation Integrity Specialists (ACDIS)

Knowledge of ICD-10-CM and MS-DRG coding systems

Experience with electronic health record systems, particularly VistA/CPRS preferred

Thorough understanding of medical terminology, anatomy, physiology, disease processes, and treatment protocols

Knowledge of regulatory guidelines including The Joint Commission, CMS, and VHA requirements

Excellent communication, interpersonal, and critical thinking skills

No sponsorship available

All candidates must be able to:

Sit, stand, walk, lift, squat, bend, twist, and reach above shoulders during the work shift

Lift up to 50 lbs from floor to waist

Lift up to 20 lbs

Carry up to 40 lbs a reasonable distance

Push/pull with 30 lbs of force

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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