Clinical Documentation Specialist
About The Position
Welcome to a medical center where you're the center of attention. The Clinical Documentation Specialist ensures the overall quality and completeness of clinical documentation in the patient medical record through concurrent interaction with appropriate individuals. Monitors the documentation process and facilitate modifications to documentation to ensure that appropriate reimbursement and clinical severity is captured for the level of service rendered to all inpatients. Ensures that the clinical information used for measuring and reporting physician and hospital outcomes is complete. Educates all members of the patient care team on documentation policies, procedures, and regulatory agency documentation requirements. Remote Hybrid - Requires Washington State Residency
Requirements
- Graduate from an accredited school of nursing required.
- Three years related clinical experience in an acute care setting required.
- Experience interacting with physicians required.
- Requires current licensure as a Registered Nurse in the state of Washington.
- Must obtain Certified Clinical Documentation Specialist (CCDS) certification within twelve months of hire date.
- Knowledge of care delivery documentation systems and related medical records documents required.
- Strong communication and critical thinking skills.
- Ability to work independently in a time oriented environment.
- Associates degree required
- Requires certification by ACDIS as a Clinical Documentation Specialist (CCDS).
Nice To Haves
- Bachelor's degree preferred.
- ICD-10 coding and DRG experience preferred.
- Bachelor's degree preferred.
- ICD-10 coding and DRG experience also required.
Responsibilities
- Ensures the overall quality and completeness of clinical documentation in the patient medical record through concurrent interaction with appropriate individuals.
- Monitors the documentation process and facilitate modifications to documentation to ensure that appropriate reimbursement and clinical severity is captured for the level of service rendered to all inpatients.
- Ensures that the clinical information used for measuring and reporting physician and hospital outcomes is complete.
- Educates all members of the patient care team on documentation policies, procedures, and regulatory agency documentation requirements.
Benefits
- Medical insurance premiums as low as $0 per month.
- Many Overlake services covered at 100%.
- Tuition reimbursement up to $10,000 per year.
- Generous retirement plan matching starting at 5% and increasing to 7% after five years with immediate vesting.
- Pre-tax and Roth after tax retirement savings plans.
- An expanded Employee Assistance Program.
- A caregiver support program to help with everything from childcare to eldercare.
- Free parking and Orca transit passes.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
Number of Employees
1,001-5,000 employees
