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Clinical Documentation Specialist (RN) - Brownsville

Company: Valley Regional Medical Center
Location: Brownsville
Posted on: December 6, 2018

Job Description:

Valley Regional Medical Center - Brownsville, TX An HCA Affiliated Hospital Clinical Documentation Specialist (RN). Founded as Valley Community Hospital in 1975, Valley Regional Medical Center proudly serves Brownsville and the surrounding communities. Valley Regional is committed to providing the best health care for the residents in the Rio Grande Valley. Valley Regional Medical Center is a 214-Licensed Bed Facility with over 200 physicians representing over 25 specialties; Valley Regional Medical Center is a leader in a vast array of high quality inpatient and outpatient programs and services, including:* 24 Hour Level III Trauma Emergency Department* Cardiology* Open Heart Surgery* Neurosurgery* Endoscopy* Imaging* Women's Services* Level II Neonatal Intensive Care Unit* Wound Care Center Valley Regional Medical Center is currently looking for a Clinical Documentation Specialist (RN). RESPONSIBILITIES:* Collaborates with physician, physician extender, nurse, case manager/utilization reviewer and Medical Records coder to identify principal diagnosis options, secondary diagnosis and procedures to assign working DRGs for at least 80-85% of identified populations.* Conducts initial and extended stay concurrent reviews on all selected admissions and document findings on DRG worksheets denoting all key information utilized in the tracking process at least every 2 - 3 days.* Queries the medical staff and other caregivers as necessary via written/verbal communication to obtain accurate and complete physician documentation that supports the severity of patient illness and risk of mortality.* Utilizes monitoring tools to track the progress of the DRG Assurance program, through interpretation of DRG tracking reports (DocsMS) and able to identify areas of focus through report analysis; shares findings with identified staff.* Serves as a resource to physicians and administration regarding issues related to the appropriateness of inpatient DRG assignment. Provides information and in-services as necessary to physicians and ancillary staff.* Assists in the development of the APR/DRG/query response physician reports.* Demonstrates creativity and enthusiasm while pursuing the goals of the department and the organization.* Efficient and effective in daily performance, uses time management skills to be a productive member of the department's team.* Follows through with tasks/problems and gives necessary feedback. Promptly investigates and follows up on unusual incidents and communications with supervisors.* Exhibits good customer service techniques in daily interactions with patients, visitors, physicians, and co-workers. QUALIFICATIONS:* Registered Nurse with current Texas license, Bachelor's Degree preferred* Five years clinical nursing experience required, Case Management or Utilization Review experience preferred* BCLS required* Demonstrated ability to establish and maintain collaborative and effective working relationships* Demonstrated ability to communicate effectively in oral, written and electronic form* Demonstrated ability of critical thinking, analytical and decision-making skills, and negotiation* Demonstrated ability to perform basic word processing and spreadsheet functions* Ability to collect, interpret and report data, as requested We offer a generous compensation package including: Vacation, 401k, Employee Stock Purchase Plan. Dental, vision, life and disability insurance, wellness resources and flexible spending accounts, along with other voluntary benefit options and programs Come make a difference - Apply Online Now!

Keywords: Valley Regional Medical Center, Brownsville , Clinical Documentation Specialist (RN) - Brownsville, Healthcare , Brownsville, Texas

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