Clinical Documentation Nurse - Quality
University of ChicagoBe a part of a world-class academic healthcare system at UChicago Medicine as a Clinical Documentation Nurse for the Office of External Assessments. This position will be primarily a work from home remote opportunity.
The Clinical Documentation Nurse – Quality supports clinical performance through abstraction, review, and reporting of medical record clinical documentation and billing assessment, to support initiatives related to quality improvement, accreditation, and regulatory requirements. The successful abstractor engages clinicians in measures of care and provides feedback to ensure accurate clinical documentation and evidence-based care.
Essential Job Functions
Provide abstraction and analysis of clinical medical record documentation and hospital billing codes to support clinical measures of care
Educate clinical teams and leaders of documentation needs related to clinical measures to guide improvement efforts
Engage clinical teams in improvement initiatives through ongoing monitoring and feedback of performance
Continual education pertaining to abstraction specifications and inter-rater reliability testing among colleagues
Other duties as assigned by manager
Required Qualifications
Current IL Nursing License (RN)
Minimum of two years direct clinical experience required
Preferred Qualifications
Minimum of two years’ experience in Utilization, Quality Assurance, or Case Management preferred
Preferred that candidate possess credentials as a RHlT (Registered Health Information Technician), CCS (Certified Coding Specialist), or CCS-P (Certified Coding Specialist-Physician-based) through the American Health Information Management Association
Knowledge of acute care regulatory/accreditation requirements preferred
Discharge planning and / or Quality Improvement experience preferred
Position Details
- Job Type/FTE: Full-Time
- Shift: Days
- Job Location: Remote
- Unit/Department: Office of External Assessments
- CBA Code: Non-Union