Req #: 242960 Department: HARBORVIEW - CLINICAL DOCUMENTATION (CDI) Posting Date: 02/08/2025 Closing Info: Open Until Filled Salary: $7,596 - $13,798 per month Shift: First Shift Notes: As a UW Medicine employee you will enjoy generous benefits and work/life programs. For detailed information on the benefits for this position, click here (https://hr.uw.edu/benefits/wp-content/uploads/sites/3/2018/02/benefits-summary-classified-staff-greater-than-half-time-20220908\_a11y.pdf) **Harborview Medical Center.** **RN2 / Clinical Documentation Specialist** **Harborview Medical Center** is a level one adult and pediatric trauma center as well as regional burn center for a four state region; a teaching and research hospital for the University of Washington; and a public/safety-net hospital for our diverse community. A higher degree of healthcare. All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. **Join Harborview Medical Center's outstanding CDI (Clinical Documentation) Team.** Responsible for improving the overall quality and completeness of clinical documentation. Facilitates modifications to clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, and medical records coding staff. Ensures that appropriate reimbursement is received for the level of service rendered to all patients with a MS-DRG or AP-DRG based payer. Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes. Educates all members of the patient care team on an ongoing basis. Facilitates modifications to clinical documentation to ensure that appropriate reimbursement is received for the level of service rendered to all patients with a DRG or APDRG based payer. Demonstrates knowledge of MS-DRG or APR-DRG payer issues, documentation opportunities, clinical documentation requirements, and referral policies and procedures. Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes. May educate internal customers (physicians, nurses, etc.) on compliant documentation opportunities, adding to the accuracy and specificity of the medical record. Conducts follow-up reviews of clinical documentation to ensure points of clarification have been recorded in the patient’s chart. May participate in QA studies as assigned for Quality Core Measures, Patient Safety and Hospital Acquired Conditions, referring quality issues to appropriate resources. **Requirements:** *Current license to practice as a Registered Nurse in the State of Washington. *Minimum of 2 years in a clinical documentation improvement position. *Minimum of 6 years of recent acute inpatient hospital nursing experience with in-depth knowledge of medical and surgical care of patients. *Familiarity with Solventum 3M360 CDI tracking software and EPIC software preferred. *Excellent observation skills, analytical thinking, problem solving, written and verbal communication skills. *Excellent interpersonal skills, professional, team player. University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.