BJC HealthCare is seeking a Registered Nurse (RN) Quality Assurance for a nursing job in Saint Louis, Missouri.
Job Description & Requirements
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Additional Information About the Role
BJC HealthCare is seeking an experienced CDI or DQC professional to join our team as a Clinical Documentation Quality Coordinator!
Overview
Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals. Recognizing its excellence in nursing care, Barnes-Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center.
Preferred Qualifications
Role Purpose
The Clinical Documentation Quality Coordinator (CDQC) is an advanced Clinical Documentation Specialist (CDS) at the enterprise level who uses extensive Clinical Documentation Improvement (CDI) experience to perform second level reviews of complex clinical cases and focused reviews of target case populations prior to final coding and billing across BJC. The CDQC responds to concurrent review requests from CDSs across the system, provides guidance to CDSs and coders to reconcile DRG mismatches, approves the withdrawal of queries, and escalates unanswered queries to Physician Champions. Drawing on his / her advanced CDI knowledge, the CDQC regularly analyzes data and reports to identify hospital / enterprise trends, areas of opportunity and provides education to facility-based CDSs and physicians based on this analysis. This position also performs focused second level reviews in mortality reviews, PSI reviews, and other identified projects indicated through data analysis.
Responsibilities
Minimum Requirements
Education
Experience
Preferred Requirements
Education
Licenses & Certifications
Benefits and Legal Statement
BJC Total Rewards
At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.
To learn more, go to www.bjctotalrewards.com / Benefits
The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer
BJC HealthCare Job ID #84810. Posted job title : Documentation Quality Coord.
About BJC HealthCare
BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.
BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.
Quality Assurance • Saint Louis, MO, USA