Clinical Documentation Specialist

Lifepoint Health • Johnstown, PA

7d

About The Position

Facilitate improvement in the overall quality, completeness, and accuracy of
clinical documentation. Through concurrent interaction with physicians, case
managers, coders, and other health care team members, the Clinical Documentation
Specialist will strive to ensure comprehensive medical record documentation that
reflects the clinical treatment, decisions, and diagnosis for all inpatients.
Serving as a resource to all members of the health care team on documentation
guidelines, this position will provide guidance and support, as well as assist
with education and training related to improving clinical documentation.

Requirements

• Bachelor’s degree.
• Licensed Registered Nurse (RN), RHIA, RHIT, Licensed Practical Nurse (LPN), or combination thereof Preferred.
• Prior experience in clinical documentation improvement and care management.
• Minimum of 3 years’ experience in an acute care facility for RNs with demonstrated critical thinking skills.
• Process improvement in an acute care facility preferred or equivalent experience—coding skills with knowledge of CMS Inpatient Prospective Payment System and working knowledge of AHA Coding Clinic.

Nice To Haves

• Certified Clinical Documentation Improvement Specialist (CCDS) or Certified Documentation Improvement (CDIP) credentials

Benefits

• Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
• Competitive Paid Time Off / Extended Illness Bank package for full-time employees
• Employee Assistance Program – mental, physical, and financial wellness assistance
• Tuition Reimbursement/Assistance for qualified applicants
• Professional Development and Growth Opportunities

What This Job Offers

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