The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status.  + Application Opening –  Wednesday, January, 15, 2025 + Application Deadline – Application filing will close on or after Tuesday, February 18, 2025  + Appointment Type: Permanent Civil Service (https://careers.sf.gov/knowledge/role-types/) + Recruitment ID:  CCT-2320-H00083 + Employment Type: Full-Time The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of multiple divisions - the San Francisco Health Network, Population Health, Behavioral Health Services, and Administration. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services. EXAMPLES OF DUTIES: + Reviews inpatient medical records for identified payor populations. + Ensures that clinical documentation reflects the appropriate level of service. + Utilizes both clinical and coding knowledge effectively. + Performs initial inpatient chart reviews. + Manages concurrent medical record reviews. + Participates regularly in scheduled case management and hospitalist meetings. + Maintains an up-to-date working DRG and a DRG assignment mismatch report detailing differences. + Utilizes encoder software to determine the working DRG, performs audits, and communicates daily with HIM coding staff. + Assists in the development of diagnosis-specific and DRG-specific queries. + Utilizes documentation improvement communication tools effectively. + Uses computer-based tools to retrieve and maintain inpatient census data, track coding, and perform audits. + Resolves inconsistent, conflicting, or ambiguous documentation through the physician query process. + Follows up with physicians to resolve all queries before the patient's discharge. + Collaborates with and supports coders. + Maintains good rapport and cooperative relationships. + Performs audits to support ongoing monitoring, corrective actions, and improvements within the Clinical Documentation Improvement (CDI) process. + Collaborates with health information management coding staff, physicians, and financial services. Addresses payment denials, medical necessity issues, and documentation concerns. + Instructs staff on proper documentation in medical records. + Reviews inpatient claims with medical necessity denials. + Maintains detailed Case Mix Index (CMI) reports. + Fosters respect for privacy by maintaining confidentiality. + Performs duties in accordance with ethical and legal compliance standards. + Educates all members of the patient care team on an ongoing basis. + Actively participates in and supports the Performance Improvement Department. + Performs other job-related duties as assigned. MINIMUM QUALIFICATIONS: LICENSE: Possession of a valid permanent/temporary (including interim permit) California Registered Nurse License (**IMPORTANT: Be sure to include your California RN license number in the application, as failure to do so may result in rejection**); AND EXPERIENCE: At least one (1) year of experience working as a Registered Nurse SPECIALTY REQUIREMENTS: + Clinical Documentation Specialist (CCDS) certification + At least 3 years of clinical experience in an acute care setting + At least 2 years of experience in clinical documentation integrity/improvement in a healthcare setting One-year fulltime employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40-hour work week). Important Note: Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Please be aware that any misrepresentation of this information may disqualify you from this recruitment or future job opportunities.  What else should I know? Please click here (https://sites.google.com/view/nursingcareers/what-else-should-i-know)  for additional details. Selection Procedures:  You will be asked to complete a questionnaire regarding your experience and licensure as part of the application. Additional selection processes may be conducted by the hiring department prior to making final hiring decisions. Certification The certification rule for the eligible list resulting from this examination will be the Rule of the List. Eligible List/Score Report: Once you pass the exam, you will be placed onto an eligible list and given a score and a rank. For more information, visit https://careers.sf.gov/knowledge/process/. Candidate names will remain on the list for a maximum period of six (6) months. Candidates that are not selected and expire off the list may re-apply. *As of March 29, 2023, in order to place you at the appropriate salary step, please include your complete and verifiable registered nursing employment history (up to 21 years) on our application.  The information that you provide on the application will be used to determine your salary step. For additional information please see paragraph 414 of the collective bargaining agreement https://sfdhr.org/sites/default/files/documents/MOUs/SEIU-1021-Staff-and-Per-Diem-Nurses-2022-2024.pdf How to apply: Applications for City and County of San Francisco jobs are only accepted through an online process. Visit careers.sf.gov and begin the application process.  Our e-mail communications may come from more than one department so please make sure your email is set to accept messages from all of us at this link.  Applicants may be contacted by email about this recruitment therefore, it is their responsibility to contact the Analyst if they update their email address.  Applicants will receive a confirmation email that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received. Terms of Announcement and Appeal Rights: Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations. [Note: The correction of clerical errors in an announcement may be posted on the Department of Human Resources website at https://careers.sf.gov/. The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S Van Ness Avenue, 4th Floor, San Francisco, CA 94103-5413 by close of business on the 5th business day following the issuance date of this examination announcement. Information concerning other Civil Service Commission Rules involving announcements, applications and examination policies, including applicant appeal rights, can be found on the Civil Service Commission website at http://sfgov.org/civilservice/rules.   If you have any questions regarding this recruitment or application process, please contact the analyst, Elaine Adams at elaine.adams@sfdph.org or (628) 271-6974. We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging. The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.