Clin Documentation Spec/UKHC

7 yrs

Registered Nurse (RN)

Occasionally standing or walking with objects weighing up to 10 lbs. and regularly sitting at a computer workstation for extended periods of time while performing tasks with repetitive motions (such as typing).

Primarily Monday through Friday; 8:00 am – 5:00 pm, with occasional evenings, nights, and holidays per business needs.

The Clinical Documentation Specialists review physician documentation to identify the most appropriate diagnosis-related group (DRG). When evidence supports additional diagnoses not documented in a manner that can be used in final ICD-10 codes, Clinical Documentation Specialists clarify with physician staff to make sure diagnoses are appropriately documented in the medical record. This function is vital to capture the most accurate clinical picture of severity of illness, risk of mortality, co-morbidities, and complications.

The ideal candidate will have the ability to manage multiple tasks and/or projects while accurately completing routine functions in a fast paced, high intensity, professional work environment; knowledge of nursing theory; proficient in Microsoft Office; excellent attention to detail; exceptional planning and organizational skill; effective written and verbal communication skills; ability to solve routine problems and manage resources; and demonstrated ability to provide superior customer service, time management, and judgment.

A Bachelor’s degree and at least five years of nursing experience are preferred.

We value the well-being of each of our employees and are dedicated to creating a healthy place for everyone to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors the University of Kentucky is a Tobacco & Drug Free campus.

As an Equal Opportunity Employer, we strongly encourage veterans, individuals with disabilities, women, and all minorities to consider our employment opportunities.

Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.