Clinical Documentation Specialist

CaroMont Health • Gastonia, NC

1d

About The Position

Assist with developing and executing a planned, systemic, system-wide approach to process design and performance measurement, assessment, improvement, and reporting. Collect and analyze data, identify trends in assigned clinical outcomes, and present findings at appropriate meetings. Serve as a team member or facilitator to promote and monitor safe, high-quality, cost-effective healthcare and the best possible clinical outcomes. Educate physicians and nurses to support compliance with best practices and evidence-based guidelines. Facilitate interdisciplinary collaboration to measure and assess processes and outcomes, and proactively identify potential solutions with multidisciplinary teams and appropriate service-line leaders and directors. Gather and disseminate clinical performance-improvement information and quality initiatives to service lines, hospital and medical-staff departments, and committees. Assist with retrospective reviews and preparation of appeals, as indicated. Facilitate peer-review activities and integrate review findings with the credentialing and reappointment process as needed. The role requires frequent communication with Service Line Medical Directors, Service Line Directors, Department Heads, the Manager, and the Director, and involves leading meetings, analyzing data, and collaborating with multidisciplinary teams on performance-improvement activities.

This position is for the CaroMont Health care system. Remote work may be approved at the Manager/Director’s discretion with VP sign-off. Days and times are subject to Manager/Director discretion, organizational needs, and work performance. Employees working remotely must have a personal computer, complete required Teleworking CBL, and review and sign the corporate Teleworking agreement and Remote Access Policy CDI Inpatient.

Requirements

• BSN required.
• Current RN license to practice in North Carolina; an NC license or multistate compact license is acceptable.
• Five years of recent nursing experience required.
• Strong, broad-based clinical knowledge and understanding of pathology and physiology.
• Analytical thinking and problem-solving skills.
• Good verbal and written communication skills.
• Remote work, if approved, requires a personal computer, completion of required Teleworking CBL, and review and signature of the corporate Teleworking agreement and Remote Access Policy CDI Inpatient.

Nice To Haves

• MSN preferred.
• Hospital setting experience with acute-care experience strongly preferred.
• Strongly encouraged to obtain CCDS certification after two years in the role.

Responsibilities

• Assist with developing and executing system-wide process design, performance measurement, assessment, improvement, and reporting.
• Collect and analyze data, identify trends in assigned clinical outcomes, and present findings at appropriate meetings.
• Promote and monitor safe, high-quality, cost-effective healthcare and optimal clinical outcomes as a team member or facilitator.
• Educate physicians and nurses on compliance with best practices and evidence-based guidelines.
• Facilitate interdisciplinary collaboration to measure and assess processes and outcomes and identify potential solutions with multidisciplinary teams and service-line leaders.
• Gather and disseminate clinical performance-improvement information and quality initiatives to service lines, hospital and medical-staff departments, and committees.
• Assist with retrospective reviews and preparation of appeals as indicated.
• Facilitate peer-review activities and integrate findings with credentialing and reappointment processes as needed.
• Communicate frequently with Service Line Medical Directors, Service Line Directors, Department Heads, the Manager, and the Director.
• Lead meetings, analyze data, and collaborate with multidisciplinary teams on performance-improvement activities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level