RN Quality

Job Description

INTEGRIS Health, Oklahoma’s largest not-for-profit health system has a great opportunity for a RN Quality in Oklahoma City, OK. In this position, you’ll work with our Health Information Management Team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as, front loaded PTO, 100% INTEGRIS Health paid short term disability, increased retirement match, and paid family leave. We invite you to join us as we strive to be The Most Trusted Partner for Health.

The RN Quality collaborates with other health care professionals to plan, monitor and evaluate patient care outcomes. Performs quality assurance processes and provides education to ensure accurate and specific medical record documentation and coding which accurately reflect DRG, diagnoses, clinical treatment, and severity of illness of our patients. INTEGRIS is an Equal Opportunity/Affirmative Action Employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.

Responsibilities

The RN Quality responsibilities include, but are not limited to, the following:
• Demonstrates a broad clinical knowledge of complex disease processes and clinical criteria to assist in identification of missed documentation and coding opportunities.
• Utilizes current official coding guidelines, conventions and coding clinics to accurately support resolutions of DRG discrepancies.
• Identifies complications/co-morbidities, secondary diagnosis, impact of procedures on MS-DRG assignment, as well as severity of illness, risk of mortality, case mix, inpatient quality reporting, and denial avoidance; with ability to impart this knowledge to caregivers
• Reviews payer coding denials and facilitates the appeal process, when applicable, working closely with the denials management team, physicians, coders and other caregivers.
• Performs quality assurance and training audits to support clinical documentation and coding staff.
• Provides on-going training and education to physicians clinical documentation and coding caregivers, as well as other professional caregivers in the organization.
• Contributes to a positive working environment and perform other duties as assigned or directed to enhance the overall efforts of the organization. Reports to the assigned Manager. This position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information. Normal office environment. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.

Qualifications
• Current licensure as a Registered Nurse (RN) in the State of Oklahoma or current multistate license from a Nurse Licensure Compact (eNLC) member state
• 2 years Registered Nurse experience
• CDI, coding, or quality related experience
• CCDS, CDIP, HCS-D, or COS-C certification preferred