Clinical Auditor Jobs in Tennessee

Location

Memphis, TN

Category

Legal, Compliance, Quality & Safety

Department

Home Care

Shift

Weekday Day

Position Type

Full Time

Scheduled Weekly Hours

40

Req #

JR7155

Job Description

The World’s Most Dedicated Never Give Up

Think of what you could achieve if the best possible care was all that mattered. If you had the encouragement and opportunity to truly bond with the patients in your care. And if you could collaborate with the world’s brightest scientists, in a bench-to-bedside environment that puts you on the leading edge of clinical breakthroughs for children with cancer, sickle cell, and other life-threatening diseases. It’s possible at St. Jude Children’s Research Hospital. As a clinical professional with us, you’ll be part of a team that gives our all to make a difference in the lives of patients with the rarest of conditions. All while receiving the resources and support you need to advance your career and be the force behind the cures.

The Clinical Documentation Specialist (RN) supports the Agency's efforts to ensure accurate, complete, and compliant clinical documentation in alignment with regulatory standards and payer requirements. This role performs HIM, utilization review (UR), and clinical documentation review functions, while regularly collaborating with clinical staff to ensure documentation accurately reflects patient condition, services provided, and medical necessity. The position contributes to the Agency's QAPI program through audits, data tracking, and identification of documentation improvement opportunities.

This role will be primarily office-based and considered an essential staff member. Limited remote work options. Occasional weekend/holiday responsibilities may be needed. This role may be required to spend time in patient care settings in SJ Housing and patient homes in the community.

Minimum Education and/or Training:

• Bachelor's degree in a relevant field (e.g., nursing).
• Master's degree preferred.

Minimum Experience:

• 3+ years of relevant experience in a healthcare setting with familiarity with standards of care, medical record documentation, and exposure to medical terminology.
• 3+ years of nursing experience preferred.
• 2+ years of Home Health experience preferred.
• Experience with EMRs in a previous setting preferred.
• At least 6 months of experience with Utilization Review responsibilities, QAPI program management, and/or Health Information Management tasks preferred.
• Pediatric experience preferred.
• Experience with quality improvement, utilization management, risk reduction/safety management, and related issues preferred.
• Experience working with accreditation and regulatory standards and their application to patient care preferred.

Licensure, Registration and/or Certification Required by Law:

• (LC: RN-TN) Must possess a current Tennessee State Board of Nursing license if primary residence is Tennessee or a non-Nurse Licensure Compact state.
• (LC: RN-ARK or RN-MISS) Must possess a current State Board of Nursing license in the state of primary residence if the state is a Nurse Licensure Compact state.

Licensure, Registration and/or Certification Required by SJCRH Only:

• Certified Professional in Healthcare Quality (CPHQ) or Certified Clinical Documentation Specialist (CCDS) certification must be obtained within 2 years of employment.

Compensation

In recognition of certain U.S. state and municipal pay transparency laws, St. Jude is including a reasonable estimate of the compensation range for this role. This is an estimate offered in good faith and a specific salary offer takes into account factors that are considered in making compensation decisions including but not limited to skill sets, experience and training, licensure and certifications, and other business and organizational needs. It is not typical for an individual to be hired at or near the top of the salary range and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current salary range is $70,720 - $126,880 per year for the role of Clinical Documentation Specialist (RN) - Home Care. Explore our exceptional benefits!

St. Jude is an Equal Opportunity Employer

No Search Firms

St. Jude Children's Research Hospital does not accept unsolicited assistance from search firms for employment opportunities. Please do not call or email. All resumes submitted by search firms to any employee or other representative at St. Jude via email, the internet or in any form and/or method without a valid written search agreement in place and approved by HR will result in no fee being paid in the event the candidate is hired by St. Jude.