Clinical Documentation Specialist - BSN required (Full-Time, Day)

Company: The Queen's Medical Center
Location: Honolulu
Posted on: November 24, 2022

Job Description:

Clinical Documentation Specialist - BSN required (Full-Time, Day) Full/Part Time Full-Time Location *Queen's Medical Ctr-Honolulu Standard Hours 40.00 Favorite Job Regular/Temporary Regular Shift Day Responsibilities I. JOB SUMMARY/RESPONSIBILITIES:
--- Responsible for assisting in the overall quality and completeness of clinical documentation throughout The Queen's Health Systems, through concurrent medical records reviews and query process.
--- Serves as a training and quality resource for providers, and all members of patient care teams to ensure the integrity of medical record documentation and allow for accurate and complete medical record coding. -

II. TYPICAL PHYSICAL DEMANDS:
--- Essential: sitting, walking, stooping/bending, finger dexterity, seeing, hearing, speaking, repetitive arm/hand motions. -
--- Frequent: standing, climbing stairs, lifting weight up to 25 pounds, carrying usual weight of 5 pound up to 20 pounds, reaching above, at and below shoulder level.
--- Occasional: kneeling, walking on uneven ground, squatting. -
--- Operates computer, printer, copier, facsimile, and telephone. -

III. TYPICAL WORKING CONDITIONS:
--- Not substantially subjected to adverse environmental conditions.
--- Exposed to blood products, body fluids, communicable diseases.
--- Work environment may be stressful due to deadlines and workload.

IV. MINIMUM QUALIFICATIONS:
A. EDUCATION/CERTIFICATION AND LICENSURE:
--- Current Hawaii State License as a Registered Nurse.
--- Bachelor's degree in Nursing.
--- Certified Clinical Documentation Specialist (CCDS) preferred.

B. EXPERIENCE:
--- Two (2) years nursing experience required, preferably in an acute care setting. -
--- Experience to demonstrate:
o Ability to learn/develop the skills necessary to implement the clinical documentation integrity activities, including knowledge of ICD-10 coding guidelines and practices, strong understanding of pathophysiology, ability to interpret regulatory guidance, using analytical problem solving skills, and engaging physicians and nursing staff in the improvement process.
o Ability to communicate effectively, both orally and in writing, with diverse professionals including physicians, nurses, case managers, and coding staff.
o Knowledge of Microsoft Office (Word, Outlook, PowerPoint and Excel)
--- Prior experience in conducting chart reviews preferred. -
--- Knowledge and experience in ICD-10 coding guidelines, quality measures, and DRG reimbursement preferred.
--- Prior experience in conducting training and education programs preferred.Equal Opportunity Employer / Disability / Vet

Keywords: The Queen's Medical Center, Honolulu , Clinical Documentation Specialist - BSN required (Full-Time, Day), Healthcare , Honolulu, Hawaii