DRG Denial Prevention Clinical Documentation Specialist

MultiCare Health System

Tacoma, WA

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JOB DETAILS

JOB TYPE

Full-time, Employee

SKILLS

Advanced Registered Nurse Practitioner (ARNP), Billing Records, Career Development, Clinical Medicine, Clinical Study Publications, Code Reviews, Critical Care, Data Analysis, Diagnosis-Related Group (DRG), Emergency Care, Fellowship, Leadership, Medical Billing, Nursing, Patient Care, Registered Nurse (RN), Staff Training, Tuition Fees, Utilization Management

LOCATION

Tacoma, WA

POSTED

30+ days ago

You Belong Here.

At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve.

FTE: 1.0, Shift: Day, Schedule: Day

Position Summary
The Diagnosis Related Grouping (DRG) Denial Prevention Clinical Documentation Specialist (CDS) is responsible for all Hospital Billing Clinical Documentation Integrity (HB CDI) across the system and serves as expert in the field. The incumbent is fully responsible for clinical related DRG denials; writes appeals, collects and analyzes denial data, educates staff on all areas of opportunity and works with CDI leadership across the MultiCare Health System to facilitate knowledge and proficiency in all aspects of HB CDI to assist leadership reach their department annual goals.

Requirements

Bachelor's degree in Nursing, or obtained within three (3) years from the initial date of hire; RN with 25+ years of service may be considered in lieu of education agreement
Advanced Degree in Nursing (MSN, PhD, DNP, ARNP) preferred
Registered Nurse license (RN) in Washington State or multi-state licensure endorsement (MSL)
Minimum five (5) years of recent experience as a Clinical Documentation Specialist plus 5 years of Critical Care and/or Emergency Department clinical experience
Utilization Review or coding experience preferred

Why MultiCare?

Rooted in the local community - Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years

Growth and education - Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in your future

Well-being and support - Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared for at work and in life

Living our values - Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other

Belonging for all - Employee Resource Groups, inclusion initiatives and outreach programs support a workplace where every voice is valued

Pacific Northwest lifestyle - Work and live where natural beauty, adventure and strong community connections are part of everyday life

Pay and Benefit Expectations
We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $112,674.00 - $183,810.00 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant's years of experience align.

Associated benefit information can be viewed here.

MultiCare is an equal opportunity employer. Hiring decisions are made without regard to race, color, religion, national origin, sexual orientation, gender identity, disability or veteran status. EOE/AA/M/F/D/V

About the Company

MultiCare Health System

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