Ascension Health Registered Nurse Clinical Documentation Coder/ Hlth Info Mgmt Operations/ FT Day 80 hrs Bi-Weekly/ St. John Medical Center in Tulsa, Oklahoma
Job ID: 204474
Registered Nurse Clinical Documentation Coder/ Hlth Info Mgmt Operations/ FT Day 80 hrs Bi-Weekly/ St. John Medical Center
Additional Job Information
Title: RN Clin. Documentation Coder
City, State: Tulsa,OK
Location: St. John Medical Center
Department: Hlth Info Mgmt Operations 001
Additional Job Details: Full-Time,Day, 40 hours,Weekly
St. John Health System is a fully-integrated healthcare system, serving more than 3,500 patients every day, encompassing eight hospitals in northeastern Oklahoma and southern Kansas. The health system also includes primary and specialty physician clinics, outpatient treatment centers, urgent care facilities and a regional medical laboratory. St. John Health System is part of Ascension Health, the nation's largest not-for-profit Catholic health system. Our promise of medical excellence and compassionate care is at the center of our Catholic mission as we serve the sick and needy in our communities. The mission of St. John Health System is to continue the healing ministry of Jesus Christ by providing high quality healthcare. Our Core Values are Service of the Poor, Reverence, Integrity, Wisdom, Creativity and Dedication. These values are expressed every day in our actions with patients, families and co-workers.
RN Clinical Documentation Coder reviews and collaboratively corrects clinical documentation to ensure that level of patient services provided is accurately and completely documented.
Performs ongoing medical record review using documentation improvement guidelines to evaluate overall quality and completeness of clinical documentation. Conducts follow-up reviews of clinical documentation to ensure issues discussed and clarified with clinical staff have been recorded in patient's chart.
Works with physicians and medical staff to improve clinical documentation for more accurate code assignments and a more accurate case mix.
Establishes and maintains a system to track and analyze outcomes of documentation improvement program. Prepares regular outcomes progress reports and presents as designated to administrative staff and committees.
Uses performance improvement methodologies and education strategies to develop formal training and improvement programs for staff concerning clinical documentation opportunities, coding and reimbursement issues. Provides ongoing updates as regulations change.
Facilitates and participates in regular meetings with Health Information Management (HIM), Care Management, and other staff to develop and implement strategies for improvement of clinical documentation and financial outcomes.
Works collaboratively with Coding staff to ensure appropriate DRG assignment and that reimbursement reflects the level of services rendered.
Identifies learning needs related to physician documentation in order to plan education for physicians, coding specialists, and clinical staff. Educates physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record.
Responsibilities may vary over time. Required to perform other duties as required for the efficiency and effectiveness of the department and job role.
Certified Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists
Registered Nurse credentialed from the Oklahoma Board of Nursing .
One or more of the following:
Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) .
Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) .
Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) .
Associate's Degree in Nursing Required Bachelor's Degree preferred/Registered Nurse with current license to practice in the state of Oklahoma. CCDS Required, and one or more of the following CCS, or RHIA, or RHIT/ Minimum of 3 years’ experience as an RN
Minimum of 3 years experience as an RN required.
How To Apply
Welcome to St. John Health System's online application process! Applicants may proceed by clicking on the "Apply Now" button.
To apply later, return to the Employment page at www.stjohnhealthsystem.com .
In addition, you may apply via one of our Employment Kiosks in the following locations:
In Human Resources located at 1802 E. 19th St., Tulsa, OK 74104.
For questions or assistance with completing the online application, please contact Ascension candidate care at 855-778-6037.
Equal Employment Opportunity
St. John Health System is an EEO/AA employer:
M/F/Disabled/Vet. For further information regarding your EEO rights, click on the following link to the “EEO is the Law” poster:
EEO is the Law Poster Supplement
Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.
St. John Health System participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.
E -Verify (link to E-verify site)