Clinical RN Document Specialist

Essential Job Duties:

1. Works collaboratively with the healthcare team to facilitate documentation within the medical record that supports the accurate patient’s severity of illness and risk of mortality.
2. Identifies need to clarify documentation of records and utilizes effective communication skills with physician, case managers, nurses, coders and other healthcare professionals utilizing appropriate tools to capture needed documentation.
3. Collaborates with physicians, physician assistants, and nurses/case managers to identify principal diagnosis options and secondary diagnoses for Medicare patients.
4. Serves and a resource to physicians and others regarding issues related to the appropriateness of inpatient DRG assignment.
5. Reviews record and works collaboratively with nurses and physicians to assure accurate documentation of quality indicators in the medical record. Responsible for proactively taking actions to assure the information is appropriately documented.
6. Demonstrates current knowledge of inpatient reimbursement systems and  is capable of communicating this knowledge in both verbal and written forms to physicians, their staff, case management , and staff  in the Health Information Department.

Secondary Job Duties That May be Reassigned:

1. Other duties as assigned.

Qualifications

Job Specifications:

• Education: Registered nurse with current licensure; Bachelors Degree in Nursing effective January 2017 (with the exception of staff previously granted grandfather status).

• Experience: One (1) year experience in a medical/surgical or emergency room area.

Why Choose Good Samaritan? 

For more than 115 years, Good Samaritan has been dedicated to not only providing trusted, industry-leading health care, but to fill a vital role in southwest Indiana and southwest Illinois. Our hospital continues to adhere to the compassionate principles our facility was founded on and further our commitments to our patients, our staff, and the communities we serve. Good Samaritan is well recognized for its commitment to excellence as a 4-time designated Magnet® facility, TJC Primary Stroke Center, and a Level III Trauma Center. 

We would love to welcome you to our Good Samaritan family. 

Thank you for your interest in employment at Good Samaritan Hospital. Please provide all information requested to assure that all your qualifications are fairly considered for current or future vacancies. Your application will remain in our active files for six months. After six months, re-application is necessary. The submission of this application does not automatically result in an employment interview or job offer.

EQUAL EMPLOYMENT OPPORTUNITY POLICY 

Good Samaritan Hospital is an equal opportunity employer. It is the policy of this facility to provide equal opportunity to persons regardless of race, religion, age, gender, disability, national origin, color, or any other classification in accordance with federal state and local statements, regulations, and ordinances.