RN Inpatient Clinical Documentation Integrity Specialist

$83,200 - $123,200/Yr

UW Health - Middleton, WI

Full-time - Mid Level

Middleton, WI

Educational Services

About the position

The Inpatient Clinical Documentation Integrity Specialist at UW Health is responsible for ensuring accurate and comprehensive documentation in inpatient medical records. This role serves as a liaison between clinicians and coders, focusing on the impact of documentation on patient care, quality outcomes, and reimbursement. The position requires conducting concurrent reviews of medical records and clarifying documentation before patient discharge, all while working under the direction of the Clinical Documentation Integrity Supervisor.

Responsibilities

• Function as a liaison between clinicians and coders.
• Provide expert information regarding documentation's impact on patient care and quality outcomes.
• Conduct concurrent reviews of inpatient medical records to clarify documentation before discharge.
• Ensure accurate reimbursement through proper documentation practices.

Requirements

• Valid RN License in the State of WI or a jurisdiction that has adopted the nurse licensure compact.
• Bachelor's Degree of Science in Nursing (BSN) preferred.
• 3 years of nursing, case management, utilization review, or quality resources experience in an acute care setting required.
• 3 years of Clinical Documentation Integrity experience highly desirable.
• Certified Clinical Documentation Specialist or Certified Documentation Improvement Practitioner preferred.

Nice-to-haves

• Experience in documentation review.
• 5 years of nursing, case management, utilization review, or quality resources experience in an acute care setting preferred.

Benefits

• Adoption assistance
• Dental insurance
• Health insurance
• Paid parental leave
• Paid time off
• Retirement plan