Employment Type:Part timeShift:Day ShiftDescription:Position PurposeResponsible for facilitating improvement in the overall quality, completeness, and accuracy of medical record documentation.What You Will Do
Assesses and monitors clinical information within the patient’s medical record on a concurrent basis.
Identifies clinical opportunities for documentation improvement.
Ensures clinical documentation accurately reflects the appropriate severity and meets regulatory guidelines by interactions and clarifications with physicians, nursing and coding staff.
Educates physicians and nursing on Clinical Documentation Improvement (CDI) strategies.
Documents assessments and physician clarifications within Guide software.
Presents CDI data, regulatory updates and/or other CDI educational material at various Medical Staff meetings.
Understands payor systems and impacts.
Works autonomously with little direction.
Works well with diverse opinions, religious and cultural ideals and values.
Maintains knowledge of equipment and continuously learns new technology and is able to trouble shoot equipment, report malfunctioning equipment and ensure its repair and return to service.
Minimum Qualifications
Active registration for Registered Nurse - Board of Nursing, State of Iowa.
Minimum of five years’ experience in Medical/Surgical, PCU, CCU, Cardiac or ED nursing.
Bachelor of Science in Nursing degree preferred at hire; otherwise must maintain agreed upon timeframe for completion.
Must possess leadership qualities including time management, verbal and written communication skills, listening skills, problem solving, decision making, priority setting, work delegation, work organization, and customer service focus.
Must be able to demonstrate basic computer skills in a Windows environment.
Possesses working knowledge of personal computer using programs such as Word, Excel, Powerchart, etc.
Must be comfortable operating in a collaborative, shared leadership environment.
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission and vision, goals, and values of Trinity Health.
Our Commitment to Diversity and InclusionTrinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.Our Commitment to Diversity and InclusionTrinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.EOE including disability/veteran