Clinical Documentation Specialist
CoxHealth•Springfield, MO
7d•Onsite
About The Position
This position is responsible for facilitating timely and accurate physician documentation in the medical record through concurrent chart review. Interdisciplinary communication and collaboration with physicians, nursing, and ancillary staff including Health Information Management coders is key to the success of this position. This position is also responsible for ongoing education of the patient care team regarding proper clinical documentation utilizing approved guidelines. Understand and utilization of ICD-10-CM and PCS coding assignment and follow Official Coding Guidelines.
Requirements
- Graduate of an approved nursing program
- 3 year’s acute care experience, 5 years preferred
- Ability to apply coding guidelines when reviewing documentation in the medical record.
- Ability to perform computer data entry.
- Ability to work with others and communicate effectively.
- Registered Nursing License
Nice To Haves
- Bachelor's Degree in Nursing
- Preferred experience in (ED, ICU, Neuro or Stepdown)
- CCDS or CDIP
Benefits
- Medical
- Vision
- Dental
- Retirement Plan with employer match
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Upload and Match Resume
What This Job Offers
Job Type
Full-time
Education Level
Associate degree
