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Job description
Overview
nAs a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA
nThis position is responsible for improving the overall quality and completeness of clinical documentation by communicating with and providing education to physicians, case managers, coders and other health team members to facilitate comprehensive medical record documentation that reflects clinical treatment, decisions, and diagnoses for patients. This position may be required to access and administer medications within their scope of practice and according to state law.
nCorporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.
nResponsibilities
nEssential Functions
nnnEnsures documentation meets quality standards and an accurate reflection of the patient's status is entered in the medical record.
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nnProvides education to staff and physicians on the importance of the Clinical Documentation Improvement Program (CDIP).
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nnFacilitates modifications to clinical documentation through extensive concurrent interactions with physicians, nursing staff and coding to support that appropriate reimbursement and clinical severity is captured.
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nnSupports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes.
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nnAssists the assigned coder with concurrently reviewing the medical records of inpatients and subsequently discusses documentation opportunities with the various physician teams.
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nnActs as consultant to coders when additional information or documentation is needed to assign the correct DRG.
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nnParticipates in assigned hospital, and unit and departmental committees.
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nnAt the discretion of department operational and patient care needs, this position is required to work rotating schedules, which may include variable hours, weekends, nights, and holidays to meet the staffing and patient care demands of a 24/7 complex health system. Regular, reliable, and punctual attendance during assigned shifts is considered an essential function of the role.
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n nKnowledge / Skills / Abilities
nnnDemonstrated ability to perform the essential functions as outlined above.
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nnDemonstrated availability to work variable and rotating shifts, including nights, weekends, and holidays, in a 24/7 patient care environment.
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nnAbility to provide care to the population served.
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nnDemonstrated knowledge of the principles of life span growth and development and the ability to assess data regarding the patient's status and provide care as described in the department's policies and procedures manual.
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nnDemonstrated human relations and effective communication skills.
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nnDemonstrated ability to collaborate with coders, physician teams and hospital staff.
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nnDemonstrated knowledge of state and federal regulations.
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nnAbility to identify and monitor trends and opportunities for documentation improvement.
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n nQualifications
nRequired
nnnFive years of clinical and critical nursing experience.
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nnBachelor's degree in Nursing or equivalency.
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n nLicenses Required
nnCurrent license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 days of hire under the interstate compact if switching residency to State of Utah. Must maintain current Interstate Compact (multi-state) license if residency is not being changed to Utah.
n n* Additional license requirements as determined by the hiring department.
nQualifications (Preferred)
nPreferred
nnKnowledge of ICD-9 and DRG.
n nWorking Conditions and Physical Demands
nEmployee must be able to meet the following requirements with or without an accommodation.
nnThis is a sedentary position in an office setting that may exert up to 10 pounds and may lift, carry, push,pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.
n nPhysical Requirements
nListening, Sitting, Speaking
nMulti-lingual Candidates Welcomed
nTo inquire about this posting, email:
nEEO Statement
nUniversity of Utah Health Hospitals and Clinics, a part of The University of Utah, values candidates who have experience working in settings with students and patients from all backgrounds and possess a strong commitment to improving access to higher education and quality healthcare for historically underrepresented students and patient populations.
nAll qualified individuals are encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities.
nUniversity of Utah Health Hospitals and Clinics, a part of The University of Utah, is an Affirmative Action/Equal Opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran's status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both.
nTo request a reasonable accommodation for a disability, please contact the University of Utah Health Hospitals and Clinics Human Resources office at . If you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity (OEO). More information, including the Director/Title IX Coordinator's office address, electronic mail address, and telephone number can be located at:
nOnline reports may be submitted atoeo.utah.edu/
nThe University is a participating employer with Utah Retirement Systems (“URS”). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work). Contact Hospitals and Clinics Human Resources at for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS’ post-retirement rules and restrictions. Please contact Utah Retirement Systems at or or Hospitals and Clinics Human Resources at if you have questions regarding the post-retirement rules.
nThis position may require the successful completion of a criminal background check and/or drug screen.
nRequisition Number 85337
nReg/Temp Regular
nEmployment Type Full-Time
nShift Day
nWork Schedule Monday-Friday 7:30am-4:00pm
nClinical/Non-Clinical Status Non-Clinical
nLocation Name Business Services Building
nWorkplace Set Up Remote
nCity SALT LAKE CITY
nState UT
nDepartment COR CST 17A HEALTH INFO CODING
nCategory Nursing
nWorkplace Set Up Remote
Worksite address
salt lake city, UT, 84193, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.