RN Clinical Documentation Specialist
About The Position
Responsible for facilitating the improvement in the overall quality and completeness of medical record documentation. Obtain appropriate clinical documentation through extensive interaction with physicians, nursing, patient caregivers, and coders. To ensure that appropriate patient centered clinical data, quality metrics and reimbursement is received for the level of services rendered. That the clinical information utilized in profiling and reporting outcomes is complete and accurate. On a consistent basis the individual will maintain ongoing education relative to CDI/ACDIS/AHIMA and the Coding Clinic.
Requirements
- Graduate of an accredited school of nursing
- Current Alabama Nursing License
- 3-7 years of experience in an acute care hospital setting
- 1 year of CDI experience (or will be educated to current standards if no prior experience)
- Medical/Surgical Nursing Experience
- Critical Care Nursing Experience
- Word and Excel experience preferred
- Time Management skills
- Self-Motivated
- Critical Thinking
Nice To Haves
- Associates Degree in Nursing or BSN, MSN
- CCDS Certification Preferred or will obtain post 2-3 years
Responsibilities
- Facilitate improvement in the overall quality and completeness of medical record documentation.
- Obtain appropriate clinical documentation through extensive interaction with physicians, nursing, patient caregivers, and coders.
- Ensure appropriate patient-centered clinical data, quality metrics, and reimbursement are received for the level of services rendered.
- Ensure clinical information used in profiling and reporting outcomes is complete and accurate.
- Maintain ongoing education relative to CDI/ACDIS/AHIMA and the Coding Clinic.
Benefits
- Medical
- Dental
- Vision
- Life insurance
- Flexible spending
- Short term and long term disability
- Retirement account options with 401K organization match
- Nurse residency program
- Tuition assistance
- Student loan reimbursement
- On-site training and education opportunities
- Employee Discounts to phone providers, local restaurants, tickets to shows, apartment application and much more
- Childcare
- Health and wellness programs
- Onsite employee pharmacy
- Free health clinic
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
