RN Utilization Review Full-time
UW Medicine

RN - Second Level Review/Review Coordinator Clinical Documentation Integrity Specialist

apartment UW Medicine location_onWA, US
$120,000 - $165,600 / YEAR
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Job Description

UW Medicine - Harborview's Medical Center's Clinical Documentation Department has an outstanding opportunity for a Registered Nurse - Second Level Review/Review Coordinator Clinical Documentation Integrity Specialist.

WORK SCHEDULE
  • Full-Time
  • Mondays-Fridays
  • Remote position

Department Description

This position will also participate in various projects and initiatives within the Clinical Documentation Program. Based on findings, department goals and initiatives and industry expectation, the SLR/Review Coordinator CDIS will participate in the education of the CDI team regarding findings and opportunities for documentation improvement in their record review. This position will assume responsibility for delegating daily assignments when directed by the CDP Operations Manager, as well as participate in quality improvement projects, audits and other duties also assigned by CDP Operations Manager.

POSITION HIGHLIGHTS

This person will perform duties and conduct interpersonal relationships in a manner that promotes a team approach and collaborative work environment with CDI staff, coders, leadership, and physicians.

Primary Job Responsibilities
  • Compliance with internal and external regulations and policies.
  • Self-directed initiative for independent education with current evidenced-based practices.
  • Review target DRGs specified by CDP Operations Manager, which is an evolving workflow. This review may have a focus on various elements including, but not limited to, CC/MCC capture rate and/or risk adjustment review (Vizient/Elixhauser)
  • Ensure that pertinent patient conditions and treatments are documented such that appropriate reimbursement is received for the level of acuity and service rendered to all patients .using an MS-DRG and/or APR-DRG based payer methodology

Requirements
  • Bachelor's degree in Nursing (minimum) with current WA or compact RN Licensure
  • 6 + years prior nursing experience in an acute inpatient hospital setting with in-depth knowledge of medical and surgical care
  • Minimum 5 years of CDI experience; CDI leadership/educator experience preferred
  • Risk adjustment experience preferred (Vizient and Elixhauser preferred)
  • Denial/Appeal experience preferred

About Harborview Medical Center

As the region's only Level I Trauma and verified burn center, Harborview Medical Center is a comprehensive healthcare facility owned by King County and operated by UW Medicine. It is dedicated to providing specialized care for a broad spectrum of patients from throughout the Pacific Northwest, including the most vulnerable residents of King County. It provides exemplary patient care in leading-edge centers of emphasis, including emergency medicine, trauma and burn care, neurosciences, ophthalmology, vascular surgery, HIV/AIDS, rehabilitation, mental health and substance abuse care. We are a Magnet-designated hospital as recognized by the American Nurses Credentialing Center.

Harborview employees are committed to the vital role the institution plays in the immediate community, as well as the entire Northwest region.

Challenge. Collaboration. Compassion.

About Uw Medicine - Where Your Impact Goes Further

UW Medicine is Washington’s only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine’s mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists and other health professionals.

All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.

Become part of our team. Join our mission to make life healthier for everyone in our community.

Compensation, Benefits And Position Details

Pay Range Minimum:

$120,000.00 annual

Pay Range Maximum

$165,600.00 annual

Benefits

Other Compensation:

For information about benefits for this position, visit https://www.washington.edu/jobs/benefits-for-uw-staff/

Shift

Alternate Work Shift (United States of America)

Temporary or Regular?

This is a regular position

FTE (Full-Time Equivalent)

100.00%

Union/Bargaining Unit

Not Applicable

About The UW

Working at the University of Washington provides a unique opportunity to change lives – on our campuses, in our state and around the world.

UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.

Our Commitment

The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81.

To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or dso@uw.edu.

Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.

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