RN - Clinical Documentation Specialist

ProvidenceSpokane, WA
5dRemote

About The Position

RN Clinical Documentation Specialist (Remote) supporting Providence Sacred Heart Medical Center & Children's Hospital in Spokane, WA Schedule: Full Time, Exempt, Day Shift The Clinical Documentation Specialist (CDS) is responsible for supporting and facilitating the overall quality of medical record documentation by improving the completeness, accuracy, and reliability of clinical documentation. A key success factor of this process is educating providers through the query process and independently supporting them with education and feedback to accurately reflect the patient's true clinical picture within the medical record. In partnering with the coding team, the CDS will be an expert with ICD-10, MS-DRG and A PR-DRG assignment. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Sacred Heart Medical Center & Children's Hospital and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Requirements

  • Associate of Science in Nursing
  • Upon hire: Washington Registered Nurse License
  • Clinical experience in acute care setting within the last 5 years -OR- 2-3 years of Clinical Documentation Integrity experience

Nice To Haves

  • Bachelor of Science in Nursing
  • Upon hire: Registered Health Information Administrator (RHIA)
  • Upon hire: Registered Health Information Technician (RHIT)
  • Upon hire: Certified Coding Specialist (CCS)
  • Upon hire: Certified Documentation Specialist (CCDS)
  • Upon hire: Certified Documentation Improvement Practitioner (CDIP)
  • Upon hire: Certified Processional Coder (CPC)
  • 1 year of understanding MS-DRG and APR-DRG assignment and fundamentals of establishing a DRG
  • 1 year of ICD-10 experience and/or understanding
  • 1 year of Clinical Documentation Specialist experience in acute care setting

Responsibilities

  • supporting and facilitating the overall quality of medical record documentation by improving the completeness, accuracy, and reliability of clinical documentation
  • educating providers through the query process and independently supporting them with education and feedback to accurately reflect the patient's true clinical picture within the medical record
  • expert with ICD-10, MS-DRG and A PR-DRG assignment

Benefits

  • Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security.
  • We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
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