Clinical Documentation Quality Specialist

Position Highlights:

• Position: Clinical Documentation Quality Specialist
• Hourly Pay Range: $40.45- $62.70/hour. The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.
• Location: Skokie, IL
• Full Time
• Hours: Monday-Friday, [hours and flexible work schedules

A Brief Overview:
The Clinical Documentation Quality Specialist plays a critical role in our hospital's clinical data management processes, ensuring the accuracy, completeness, and compliance of clinical documentation. This position is essential for enhancing patient care, supporting effective communication among healthcare teams, and maximizing revenue.

What you will do:

• Collaborate with clinical staff to review and analyze medical records and clinical documentation for accuracy, completeness, and compliance with regulatory and coding standards.
• Identify gaps and inconsistencies in clinical documentation and work closely with physicians, nurses, and other clinical staff to clarify and enhance documentation.
• Maintain accurate and up-to-date clinical documentation in the hospital's electronic health record (EHR) system, ensuring data consistency, accuracy, and integrity.
• Ensure clinical documentation practices adhere to federal, state, and local healthcare regulations, as well as HIPAA privacy standards.
• Generate and submit timely and accurate clinical reports for quality improvement initiatives, regulatory requirements, and research projects.
• Provide education and training to clinical staff on the importance of accurate data collection, documentation, and coding to support patient care, billing, and compliance.
• Collaborate with clinical staff to resolve documentation-related questions, discrepancies, and ambiguities, ensuring accurate and complete documentation.
• Maintain strict confidentiality and security of patient data, complying with HIPAA and other privacy regulations

What you will need:

Education: Bachelors Degree Nursing Required

License: Registered Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) Required

Experience: 2 years CDI experience at Acute Care Hospital and 5 years RN experience at Acute Care Hospital

Skills:

• Strong clinical knowledge and demonstrated commitment to maintaining relevancy in the clinical field.
• A high level of analytical ability is required.
• Incumbents must collect and track data to assist the Director in solving problems related to the specific discipline.
• A high level of communication skills are required to effectively educate others.
• Effective ability and willingness to communicate benefits of complete and accurate documentation to CDI Specialists and physicians in alignment with the mission of the CDI program.
• Ability to collaborate with Directors and Leads on clinical documentation Integrity initiatives, effectively tailoring learning and education.
• Familiarity with IPPS Guidelines, ICD-10-CM and PCS Official Coding Guidelines, Federal CMS Guidelines, State Guidelines, Vizient Risk Models, MSDRG and APRDRG 3M Grouper algorithms and acuity mode

Benefits (For full time or part time positions):

• Career Pathways to Promote Professional Growth and Development
• Various Medical, Dental, Pet and Vision options
• Tuition Reimbursement
• Free Parking
• Wellness Program Savings Plan
• Health Savings Account Options
• Retirement Options with Company Match
• Paid Time Off and Holiday Pay
• Community Involvement Opportunities

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org.

When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.

Please explore our website (www.endeavorhealth.org) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best".

Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.

Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.

EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.

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