RN Clinical Documentation Specialist

The Denver Hospice has an opening for an RN Clinical Documentation Specialist.

Location: Denver, CO

Status: Full-time

Schedule: Monday-Friday, 8-5

Pay Range: $80,288 - $94,328 annually

Supplemental Pay: Based on position, schedule and/or availability: Stipends/Shift Diffs/Paid Mileage

Mileage and Expense Reimbursement: Sixty-two and a half cents per mile – one of the highest in the industry!

CULTURE, BENEFITS AND PERKS:

• We value engagement, community, and outreach initiatives and know it matters for our team members and our patients. We provide welcoming and supportive care to our patients and a work environment where all team members feel respected and valued.
• We support a culture of work-life balance and provide team members with two, free, confidential and robust benefit programs designed to provide solutions to the logistical and financial problems that arise in life.
• Employer pays over 90% of employee medical premium in some plans
• Health Savings Account (HSA) with significant Employer Funding: Single $1,000, Family $2,000
• Healthcare Benefits are effective on the 1st of the month following 30 days of employment
• Extensive Paid Time Off (PTO/Vacation Pay/Sick Leave): 18 days in the first year for FT team members
• Seven Paid Holidays with an additional Floating Holiday
• 403(b) Retirement Plan with Employer Match: 50% match up to 8% of total compensation
• Company-Paid Life and AD&D Insurance
• Career & Logo wear
• Education Reimbursement Program
• Clinical Career Ladders
• Certification Pay
• Generous Discover-a-Star Team Member Referral Program
• Team Member Service Awards
• Early Wage Access
• Legal and Identity Protection
• Robust Leadership Development Training Programs

REWARDING WORK YOU WILL DO:

Responsible for reviewing patient medical records to ensure they meet clinical, regulatory, and billing compliance standards. This role combines clinical expertise with a deep understanding of healthcare regulations, including those from the Centers for Medicare and Medicaid Services (CMS).

• Conducts thorough reviews of clinical documentation during the patients’ stay, often within 24-48 hours of admission, such as patient charts, care plans, and physician's orders, to ensure they are complete, accurate, and support the patient's initial and ongoing eligibility for hospice services.
• Identifies missing, vague, or conflicting documentation regarding a patient’s condition and treatment and works closely with physicians and other providers to gain clarity or obtain additional information.
• Verifies that all records and billing practices adhere to applicable federal and state regulations, including CMS and HIPAA standards.
• Analyzes audit findings to identify trends and patterns in documentation quality. Generates quality reports and presents findings to clinical staff and leadership to facilitate continuous improvement.
• Educates clinicians and other staff on proper documentation procedures, compliance essentials, and best practices. May help develop training materials for staff development.
• Assists in preparing for internal and external audits, including those from regulatory bodies like the Office of Inspector General (OIG), Accreditation Commission for Health Care (ACHC) & Colorado Department of Public Health and Environment (CDPHE).

WHAT WE ARE GOING TO LOVE ABOUT YOU:

• Graduate of an accredited school of nursing.
• 5 years’ experience in hospice or home health medical record review, medical terminology, and relevant regulations, including Medicare and Medicaid rules is preferred.
• 2 years’ experience with electronic health records (EHRs) and auditing software is necessary. Proficiency with basic computer programs, including the Microsoft Office suite, is also required.
• Excellent written and verbal communication skills are critical for reporting findings and providing feedback to staff.
• Strong analytical and critical-thinking skills are needed to research complex coding and compliance issues.
• Current Colorado RN license or a license from the state of primary residence, if participating in the NLC (Nurse Licensure Compact). OASIS D and ICD-10 certification is preferred but may be substituted for actual hands-on experience.

PHYSICAL REQUIREMENTS:

• Ability to lift/carry a minimum of 30 lbs.

Care Synergy is a network of mission driven, nonprofit healthcare organizations dedicated to caring for very ill, frail, and primarily elderly individuals by keeping them at home and out of the hospital while maximizing comfort, dignity, and quality of life.

The Care Synergy enterprise includes a group of collaborating nonprofit Affiliates across Colorado’s Front Range that share resources, expertise, and infrastructure to deliver high quality, compassionate care. Collectively, the enterprise generates approximately $100 million in annual revenue and serves thousands of individuals and families each year through hospice, home health, palliative care, CAPABLE, wellness, and PACE programs.

Across the Care Synergy network, the organizations provide significant community impact, including more than 7,000 hospice patients served annually, more than 2,000 palliative care patients, more than 355,000 hospice days of care each year, and more than $1.6 million in charitable care provided annually.

Care Synergy affiliated programs include The Denver Hospice, Pathways Hospice, Pikes Peak Hospice and Palliative Care, Colorado Visiting Nurse Association, CAPABLE, and Superior Medical Equipment, along with PACE programs including Colorado PACE and Pathways PACE.

If you need assistance completing the electronic application please contact our Talent Acquisition team via email at [email protected]. You may also call the Human Resources Department at (303) 228-5647. Applications can be completed in-person at any one of our affiliate office locations.

The Organization does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, gender identity, pregnancy, national origin, age, disability, creed, ancestry, genetic information, marital status, sexual orientation/identity, transgender status, military or veteran status, or any other characteristic protected by federal, state, or local law. This prohibition includes unlawful harassment based on any of these protected classifications.

#TDH