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Clinical Documentation Spec HC

Location of Job** **: US:NY:Cheektowaga

Work Type** **: Full-Time

Shift 1

Job Description

Under direction of the department manager, this position completes review of OASIS documents, physician orders including the plan of care, as well as other clinical documentation to identify discrepancies, potential errors or other inconsistencies. Responsible for ICD home care coding source documents (OASIS or other documents) as well as completing adjustments to OASIS MO items in accordance with regulatory requirements. Interact directly with clinical field staff regarding document reviews. Provides feedback to clinical leadership and staff and others on areas for staff education as well as potential areas of risk related to documentation.

Education And Credentials

AAS - Associate of Applied Science in Nursing is required. BS - Bachelor of Science in Physical Therapy is required. BS - Bachelor of Science in Nursing is preferred. Registered Nurse and Licensed Physical Therapist upon hire required. OASIS certification for Homecare upon hire and maintain during employment preferred. ICD 10 certification for Homecare obtained within 6 months of hire and maintain during employment preferred.

Experience

3 years of experience in a clinical setting required. 2 years of experience in a home care setting required.

Working Conditions

Essential:

* Weight Requirement - Medium (up to 50 lbs)

Job Details

Department: VNA Clinical Documentation

Standard Hours Bi-Weekly: 0.00

Weekend/Holiday Requirement: Yes

On Call Required: No

With Rotation:

**Scheduled Work Hours:** 9a-530p

**Work Arrangement:** Onsite

**Union Code:** U20 - CWA 1122 VNA RN & Clerical

Requisition ID#: 10490

**Recruiter:** Adrian G. Mudd

**Grade:** 10

**Pay Frequency:** Bi-Weekly

**Salary Range:** $42.23 -$52.68

*Wage will be determined based on factors such as candidate's experience, qualifications, internal equity, and any applicable collective bargaining agreement.

_The VNA's mission is to advance the health of our community, and we believe our diversity, equity, and inclusion (DEI) strategic work is mission- critical for the good of our workforce and the community who need and depend on our care and services. We understand that racism and health inequities stand firmly in the way of advancing the health of our community, and the VNA envisions DEI as the pursuit of equity and restorative justice for every person. We will exemplify courage and accountability through both the professing and practice of our core values for our friends, colleagues, and community. The VNA is committed to creating a culture of equity and inclusion where diversity is valued and celebrated!_

**Position** Clinical Documentation Specialist HC

**Location** US:NY:Cheektowaga | Corporate Administration | Full-Time

**Req ID** null

Equal Opportunity Employer

Kaleida Health is committed to diversity and believes our workforce is strengthened by the inclusion of and respect for our differences.

Kaleida Health is an equal opportunity and affirmative action employer. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, religion, sex, national origin, citizenship status, creed, gender, gender identity or expression, sexual orientation, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision.

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for or perform your job.