RN – Clinical Documentation Specialist, Oncology

Job Description:

  • Review clinical documentation and judge its completeness and quality
  • Facilitate clinical documentation modifications through communication with physicians, practitioners, and medical records coding staff
  • Ensure pertinent patient conditions and treatments are documented for appropriate reimbursement using DRG-based Medicare methodology
  • Verify the accuracy and completeness of clinical information used to measure and report patient care, physician practice, and medical center outcomes
  • Educate patient care team members about clinical documentation
  • Perform initial and follow-up audits and investigations of medical records
  • Examine, analyze, and report on institutional practices and procedures for compliance, operational efficiency, and record accuracy
  • Confer with physicians, coding specialists, and others to clarify information and obtain documentation
  • Educate providers on documentation, coding, reimbursement, and performance improvement methodologies
  • Lead or participate in Oncology QA studies and special projects
  • Serve on or lead committees and task forces

Requirements:

  • Current licensure to practice as a Registered Nurse in Washington State
  • Bachelor's Degree in Nursing
  • At least 6 years of in-patient Oncology nursing experience
  • 2 years of CDI experience
  • CCDS and/or CDIP certifications desired
  • Effective communicator
  • Strong critical thinking and problem-solving skills
  • Equivalent education and/or experience may substitute for minimum qualifications except when there are legal requirements, such as a license, certification, and/or registration

Benefits:

  • Benefits information provided via UW staff benefits page
  • Regular full-time position
  • First shift schedule
  • Remote (100% telework)
  • Professional growth opportunities
  • Public transit options including Sound Transit light rail access
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