Clinical Documentation Specialist - HIM Department Job at MD Anderson, Houston, TX

bkxkbFFOeE54Z0xHdFdjQ2pNV1FKOGQxVEE9PQ==
  • MD Anderson
  • Houston, TX

Job Description

The Clinical Documentation Specialist position in the department of HIM Administration at MD Anderson Cancer Center in Houston, TX promotes appropriate clinical documentation through collaboration with MD Anderson staff by reviewing patient documents, assessing for accuracy and educating the patient care team to ensure guidelines are met and appropriate processes are followed. They will impact the quality of clinical documentation, and in turn, effect the financial reimbursement for the institution.

The Health Information Management (HIM) Department serves a multitude of internal and external clients which include clinical and research faculty, patients and their families, staff employees, students, regulatory and accreditation agencies, third party payers and other patient representatives such as attorneys. Our team focuses on securing and maintaining health information and the management of health care information resources. Accurate, complete, secure patient information is essential to the delivery of safe, effective and reimbursable health care. We ensure that patient information meets regulatory compliance and accreditation standards.

MD Anderson offers our employees:
- Paid employee medical benefits (zero premium) starting on first day for employees who work 30 or more hours per week
- Group Dental, Vision, Life, AD&D and Disability coverage
- Paid time off (PTO) and Extended Illness Bank (EIB) paid leave accruals
- Paid institutional holidays, wellness leave, childcare leave and other paid leave programs
- Tuition Assistance Program after six months of service
- Teachers Retirement System defined-benefit pension plan and two voluntary retirement plans
- Employer paid life, AD&D and an illness-related reduced salary pay program
- Health Savings Account and Dependent Care Reimbursement flexible spending accounts
- Fertility benefits
- State of Texas longevity pay
- Extensive wellness, recognition, fitness, employee health programs and employee resource groups.

Must be flexible with time and location of work. May be asked to come into the office to work or work on the inpatient floor, shoulder or shoulder with providers.

The University of Texas MD Anderson Cancer Center is ranked the nation's top hospital for cancer care by U.S. News & World Report's "Best Hospitals." MD Anderson's mission is to eliminate cancer in Texas, the nation and the world through exceptional programs that integrate patient care, research and prevention. Our mission also includes education for undergraduate and graduate students, trainees, professionals, employees and the public.

Essential Job Functions:
Obtains and promotes appropriate clinical documentation through interaction with MD Anderson clinical staff to ensure documentation is complete, accurate and reflects the level of service rendered to patients. Performs admission reviews and concurrent reviews for specific patient populations using clinical guidelines. Reviews documentation by physicians and clinical staff as well as lab results, diagnostic information and treatment plans to assure accuracy.

Reviews files to identify documentation gaps and requests clarification from physicians and other caregivers of unclear diagnoses, patient complications, procedures and clinical documentation. Educates all members of the patient care team on documentation guidelines on an ongoing basis. Presents recommendations for process improvement opportunities regarding work flow and or policies and procedures as necessary.

EDUCATION:
Required: Bachelor's degree in Nursing or Health Information Management.

EXPERIENCE:
Required: At least five years of clinical coding or nursing experience in acute care facility. May substitute required degree with additional years of experience on a one to one basis.

Preferred: At least five years of clinical nursing experience in an acute care facility.

LICENSURE/CERTIFICATION:
Required: At least one of the following: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or current Professional Nursing License (RN). Basic Life Support (BLS) or Cardiopulmonary Resuscitation (CPR) certification.

Preferred: Certified Clinical Documentation Improvement Practitioner (CDI) would be a plus.

OTHER: Must pass pre-employment skills test as required and administered by Human Resources.

It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law.

Additional Information

  • Requisition ID: 166916
  • Employment Status: Full-Time
  • Employee Status: Regular
  • Work Week: Days
  • Minimum Salary: US Dollar (USD) 75,000
  • Midpoint Salary: US Dollar (USD) 93,500
  • Maximum Salary : US Dollar (USD) 112,000
  • FLSA: exempt and not eligible for overtime pay
  • Fund Type: Hard
  • Work Location: Hybrid Onsite/Remote
  • Pivotal Position: Yes
  • Referral Bonus Available?: Yes
  • Relocation Assistance Available?: Yes
  • Science Jobs: No
#LI-Hybrid

Job Tags

Holiday work, Full time, Traineeship, Local area, Remote job, Relocation package, Flexible hours,

Similar Jobs

24/7 Travel Stores

Cashier Job at 24/7 Travel Stores

 ...Description GREAT WORK Great Pay ! Is our motto here at 24/7 Travel Stores. As a retail clerk/cashier, you represent the 24/7 Travel Store...  ...MUCH YOU CAN EARN: Base Pay Attendance Bonus - $15.25/HR Overnight/Weekend Bonus Pay - $1.00/HR Weekly Commission Bonus - $0.70... 

American Express

Campus Undergraduate - 2025 Technology Software Engineer III Full-Time Phoenix, AZ Job at American Express

 ...applications as part of a scrum team. Learn technical skills, write code, conduct code reviews and write unit tests. Partner with...  ...in an academic, professional, or personal setting. Some entry level software development experience, design, or creative experience... 

System One

Strategic Sourcing/Procurement Specialist Job at System One

 ...Strategic Sourcing/Procurement Specialist As part of this global team, the Strategic Sourcing Specialist is responsible for the provision of Sourcing and Buying capabilities to meet the global and regional business requirements for assigned categories. The Strategic... 

EDI Specialists, Inc.

Hybrid Data Integration Specialist Job at EDI Specialists, Inc.

GENERAL SUMMARY: This position is a technical role that has the responsibility for designing and developing data integration solutions in support of our data warehouse environment and inter-system interfaces. The individual will collaborate with cross-functional teams...

St. Joseph's Health

Patient Experience Manager, Full-Time Day Shift Job at St. Joseph's Health

 ...largest employer in Passaic County, and one of the nations 100 Best Places to Work in Health Care.Job Overview:The Patient Experience Manager provides management and oversight of the Patient Experience team and Language Services program. The manager is...