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Clinical Documentation Integrity Specialist VI - RN Strongly Preferred
At Kaiser Permanente our nurses are leaders, clinicians, researchers, innovators, and scientists who are contributing toward being an industry-leading voice for advancing evidence-based care. Whether supporting the patient directly in our hospitals or clinics, providing care at home, serving our patients through innovative virtual technology, or managing care delivery teams, Kaiser Permanente nurses utilize scientific evidence and our integrated care model to optimize the total health of our members and the communities we serve. We invite nurses who are passionate about nursing excellence, high-quality compassionate care delivery, professionalism, integrity, teamwork and patient and family centeredness to join our teams so that we can continue to sustain and build upon our culture of excellence.
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Job Schedule: Full-time
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Scheduled Weekly Hours:
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Shift: Day
Success Profile
We’re looking for Nurse Leaders who possess the following traits.
- Collaborative
- Compassionate
- Flexible
- Leadership
- Socially Conscientious
- Trustworthy
Benefits
We offer several benefits to our nurses.
Our Culture
At Kaiser Permanente, we cultivate an environment of compassion, integrity, trust, and open communication that helps our teams do their best work. We believe that lifelong learning will expand our knowledge so we can better serve our patients. Our practice is rooted in research and evidence-based care. Our nurses reflect the rich diversity of our members and communities and provide culturally responsive and competent care that promotes understanding of our members needs and preferences. At Kaiser Permanente, nurses are highly skilled professionals who exemplify leadership, critical thinking, and collaborative problem solving and deliver the right care, at the right time, in the right setting.
Hear From Our People
Caitlin
Inpatient Lactation Consultant
As an RN/IBCLC in Maternal Child, I’m meeting families at a pivotal time — I’m there to help launch a new family into the world. Everything I do has the potential to impact a family’s health for generations to come.
Kimberly
Quality Coordinator RN
In Hawaii, your community is your family — or ‘ohana.’ I am able to provide extraordinary patient-centered care to my ohana.
David
Appointment and Advice RN
The location is fantastic. Kaiser Permanente is all over the country. You can pick almost any environment you want — from ocean to mountain to city. You’ll still be able to contribute to our mission of providing high quality health care at a local facility.
Shawn
BSN, RN
I chose Kaiser Permanente because their staff and providers really show that they care about you. Also, throughout my 12 years of working here I’m always learning something new, and I’ve had many opportunities for growth and development.
Kristen
Relief Charge Nurse
Working as a nurse at Kaiser Permanente has allowed me the perfect flexible schedule so that I can volunteer as Girl Scout Leader and room parent for both my children. My kids know that I am a hardworking mother who can provide, as well as a mom who can be present and be there for them – and that means everything to me.
Jazmin
RN, Advice Nurse
Working for Kaiser Permanente has allowed me to take control of my future and make my goals a possibility. I feel that Kaiser Permanente allows me to keep climbing and moving. Having that ability truly makes me feel empowered.
Clinical Documentation Integrity Specialist VI - RN Strongly Preferred
Performs a second-level review medical/health records to promote the accuracy and completeness of clinical documentation and acts as an expert resource for assigning medical codes and diagnostics-related groups (DRGs) to facilitate the accurate capture of diagnoses. Assists in enhancing the clinical documentation improvement/integrity (CDI) program by collaborating with leadership to conduct data and root cause analyses to identify trends and improvement opportunities in clinical review and documentation processes. Supports regulatory compliance by conducting audits, reviewing clinical documentation, and addressing and/or reporting cases of non-compliance in line with coding guidelines and federal regulations. Develops and leads staff trainings and education on clinical documentation improvement (e.g., medical review and coding, quality standards, documentation requirements for diagnosis capture).
- Promotes learning in others by communicating information and providing advice to drive projects forward; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; provides actionable feedback to others, including upward feedback to leadership; influences, mentors, and coaches team members. Practices self-leadership; creates, evaluates, and responds to the strengths and weaknesses of self and unit or team members. Leads the adaptation to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Fosters open dialogue amongst team members.
- Drives the execution of multiple work streams by identifying member and operational needs; translates business strategy into actionable business requirements; develops and updates new procedures and policies. Gains cross-functional support for objectives and priorities; determines and carries out processes and methodologies; solves highly complex issues; escalates and resolves issues as appropriate; sets standards and measures progress. Develops work plans to meet business priorities and deadlines; coordinates, obtains and distributes resources. Removes obstacles that impact performance; guides performance and develops contingency plans accordingly; influences the completion of project tasks by others.
- Provides expert consultation on clinical documentation reviews by: performing a second-level review of medical/health records to promote the accuracy and completeness of clinical documentation and serving as a resource for complex reviews; acting as a region-wide educator and/or performing quality assurance reviews of complex cases reviewed by other clinical documentation improvement/integrity (CDI) reviewers and providing expert consultation to other CDI reviewers; serving as an expert resource for applying and documenting medical codes to facilitate the accurate capture of diagnoses; offering expertise to medical providers to identify the presence of medical conditions that impact severity of illness (SOI) and risk of mortality (ROM) indicators; and creating and monitoring high importance and/or complex documentation clarification queries and facilitating the efficient resolution of all open queries.
- Leads processes to improve clinical documentation and/or evaluate performance by: providing mentorship on handling complex documentation issues, contradictions, or omissions; collaborating with leadership to conduct data and root cause analyses to identify trends and improvement opportunities in clinical review and documentation processes; and identifying opportunities for improvement related to clinical documentation, and collaborating with leaders to implement documentation improvement initiatives.
- Contributes to staff training and education by: identifying opportunities, developing and/or leading trainings on clinical documentation improvement/integrity (e.g., medical review and coding, quality standards, documentation requirements for diagnosis capture); and collaborating with leadership on the region-wide development and implementation of programs for clinical documentation education/training.
- Facilitates regulatory compliance by: identifying and resolving challenges to completing clinical documentation work in line with regulatory requirements; performing the clinical documentation audit process to facilitate compliance with coding guidelines and federal regulations; addressing and/or reporting cases of non-compliance; and independently identifying needs and opportunities to maintain up-to-date knowledge of relevant regulations and mentoring team members on regulatory changes.
- Ambiguity/Uncertainty Management
- Attention to Detail
- Business Knowledge
- Communication
- Critical Thinking
- Cross-Group Collaboration
- Decision Making
- Dependability
- Diversity, Equity, and Inclusion Support
- Drives Results
- Facilitation Skills
- Health Care Industry
- Influencing Others
- Integrity
- Learning Agility
- Organizational Savvy
- Problem Solving
- Short- and Long-term Learning & Recall
- Teamwork
- Topic-Specific Communication
- Applied Data Analysis
- Audits
- Autonomy
- Compliance Management
- Confidentiality
- Coordination
- Curriculum Development
- Data Quality
- Data Stewardship
- Disease Classification
- Employee and Physician Safety
- Execution Excellence
- Government Health Care Programs
- Health Care Coding
- Health Care Compliance
- Health Care Data Analytics
- Health Care Quality Standards
- Health Information Systems
- Health Plan Operations
- Information Gathering
- Internal Audit Processes
- Maintain Files and Records
- Managing Complexity
- Medical Coding
- Medical Terminology
- Quality Assurance and Effectiveness
- Quality Improvement
- Relationship Building
- Root Cause Analysis
- Service Focus
- Technical Documentation
- Training
- Trend Analysis
- Written Communication
- Minimum five (5) years of experience in a leadership role with or without direct reports.
- Minimum five (5) years of experience in clinical documentation improvement or integrity.
- Bachelors degree in Nursing, Medicine, Health Administration, Health Information Management, or related field AND minimum nine (9) years of experience in nursing, medicine, CDI, inpatient coding, quality review, case management, or a directly related field OR Minimum twelve (12) years of experience in nursing, medicine, CDI, inpatient coding, quality review, case management, or a directly related field.
- Certified Clinical Documentation Specialist Credential (CCDS) from the Association of Clinical Documentation Integrity Specialists (ACDIS) OR Certified Documentation Improvement Practitioner (CDIP), Certified Coding Specialist (CCS), Certified Coding Specialist Physician-based (CCS-P), Registered Health Information Administrator (RHIA), OR Registered Health Information Technician (RHIT) from the American Health Information Management Association.
- Four (4) years of experience using Epic System software OR other Electronic Medical Record (EMR) system.
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Industry Leader
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Ranked among the nation's best
Every hospital that's part of the Kaiser Permanente system earned “high performing” recognition in the latest U.S. News and World Report's annual rankings. That means all 39 of our hospitals are among the top 20% in the nation.
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Awarded for excellence
We're proud that so many of our hospitals have earned Magnet status. It shows our real commitment to outcomes, safety, quality, efficiency, and, most importantly, to our nurses.
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Recognizing nurses during Nurses Month in 2022
We're thanking each one of our 65,000 Kaiser Permanente nurses for everything they've done for us and for the nation. Thank you for choosing to be a nurse and for leading our transformation of care.
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Explore a career in nursing
When you join Kaiser Permanente as a nurse, you'll help us boldly transform care while also building a career that offers more opportunities for you to grow.
Experience nursing excellence
At Kaiser Permanente our nurses are leaders, clinicians, researchers, innovators, scientists, and more. It takes an extraordinary team to offer extraordinary care.
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