Clinical Documentation Nurse - Quality

Be 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

We’ve been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We’re in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you’d like to add enriching human life to your profile, UChicago Medicine is for you. Here at the forefront, we’re doing work that really matters. Join us. Bring your passion.

UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at: UChicago Medicine Career Opportunities

UChicago Medicine is an equal opportunity employer.  We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.

As a condition of employment, all employees are required to complete a pre-employment physical, background check, drug screening, and comply with the flu vaccination requirements prior to hire. Medical and religious exemptions will be considered for flu vaccination consistent with applicable law.

Compensation & Benefits Overview

UChicago Medicine is committed to transparency in compensation and benefits.  The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position.

The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union.

Review the full complement of benefit options for eligible roles at Benefits - UChicago Medicine.