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University of Kentucky Clin Documentation Spec/UKHC in Lexington, Kentucky


University of Kentucky

Equal Employment Opportunity/M/F/disability/protected veteran status.

Posting Details

Posting Details

Job TitleClin Documentation Spec/UKHC
Requisition NumberRE50235
Working TitleClinical Documentation Specialist
Department NameH4021: Revenue Management - Coding & Documentation
Work LocationLexington, KY
Grade Level11
Salary Range$54,080-95,056/year
Type of PositionStaff
Position Time Status Full-Time
Required Education
ADN
Click here for more information about equivalencies:https://hr.uky.edu/employment/working-uk/equivalencies
Required Related Experience
7 yrs
Required License/Registration/Certification
Registered Nurse (RN)
Physical Requirements
The physical requirements of this position include: lifting, pushing, and/or pulling objects up to 10lbs; regularly walking or standing with objects up to 10lbs; regularly sitting at a computer workstation for extended periods of time with repetitive motions (such as typing); and occasional (<10% of the time) job-related travel.
Shift
Primarily days, Monday through Friday (8:00am-5:00pm). Some evenings, nights, and/or holidays may be required per departmental needs.
Job Summary
The Clinical Documentation Specialist will review physician documentation to identify the most appropriate DRG. When evidence supports additional diagnoses not documented in the proper format for final ICD-9 codes, the Clinical Documentation Specialist will clarify information with physician staff to ensure that 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 Specialist will also assist in the capture of present-on-admission diagnoses.

This is a primarily remote position with some on-site requirements.
Skills / Knowledge / Abilities
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. This individual will also have knowledge of nursing theory; proficiency utilizing Microsoft Office applications; excellent attention to detail; exceptional planning and organizational skills, written and verbal communication skills, and time management and judgement abilities; the ability to solve routine problems and manage resources; and a demonstrated ability to provide superior customer service.
Does this position have supervisory responsibilities? No
Preferred Education/Experience
A Bachelor’s degree and at least five years of nursing experience are preferred.
Deadline to Apply05/15/2025
Our University Community
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.


Posting Specific Questions

Required fields are indicated with an asterisk ().

  1. Do you have a current Kentucky Registered Nurses license or are you eligible to obtain one by date of hire?
    • Yes
    • No
  2. Please choose the answer that best describes your years of paid, full-time employment experience as a registered nurse.
    • None
    • More than 0, up through 1 year
    • More than 1 year, up through 2 years
    • More than 2 years, up through 3 years
    • More than 3 years
  3. Please indicate your years of paid work experience in identifying diagnosis-related groups (DRGs) or assigning ICD-9 codes.
    • None
    • More than 0, up through 1 year
    • More than 1 year, up through 3 years
    • More than 3 years, up through 5 years
    • More than 5 years
  4. * Briefly describe your experience doing chart review (for example: clinical documentation, auditing, core measures, utilization review, legal, quality).

    (Open Ended Question)


Applicant Documents
Required Documents
  1. Resume
  2. Cover Letter
Optional Documents



    Equal employment opportunity, including veterans and individuals with disabilities



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