Clinical Documentation Specialist

FMOLHS • Baton Rouge, LA

64d

About The Position

The Clinical Documentation Specialist (CDS) improves the accuracy and completeness of clinical documentation in medical records by performing thorough reviews and requesting clarifications from clinicians. They facilitate modifications that accurately reflect patient severity, risk, and resource use, collaborating with clinicians and coders. The CDS ensures compliance with regulatory guidelines and supports accurate reporting of provider and hospital outcomes. They actively contribute to operational improvements and participate in education and program-related activities, aligning with FMOLHS Mission values.

Requirements

• Accuracy and completeness of clinical documentation.
• Understanding of patient severity, risk, and resource use.
• Knowledge of regulatory guidelines.
• Ability to collaborate with clinicians and coders.
• Alignment with FMOLHS Mission values.

Responsibilities

• Perform thorough reviews of clinical documentation.
• Request clarifications from clinicians.
• Facilitate modifications that accurately reflect patient severity, risk, and resource use.
• Collaborate with clinicians and coders.
• Ensure compliance with regulatory guidelines.
• Support accurate reporting of provider and hospital outcomes.
• Contribute to operational improvements.
• Participate in education and program-related activities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed