Clinical Documentation Coordinator / Clinical Documentation Improvement / Full Time

Catawba Valley Health System; North Carolina; On-site; USD 85,000 - 115,000; Full time

Job summary

Catawba Valley Medical Center is seeking a Clinical Documentation Improvement professional to analyze and audit medical records for accuracy, completeness, and regulatory compliance. You will collaborate with providers to improve documentation and maximize value-based reimbursement.

The role requires five years of direct clinical nursing experience, a nursing license, and a nursing certification in coding or plan to obtain within four years.

Qualifications

• Graduate of accredited nursing program.
• Current NC RN license or licensure from Nursing Compact State.
• Bachelor’s degree in Nursing.
• Professional Certification in Medical Coding required or obtained within four years of employment.

Responsibilities

• Analyze and audit medical records concurrently to ensure clinical information is specific, accurate, complete and compliant.
• Communicate need for improved documentation to providers to assure appropriate reimbursement and adherence to guidelines.

Skills

Clinical documentation

Auditing

Provider communication

Reimbursement knowledge

Education

Bachelor’s degree in Nursing

Graduate of accredited nursing program

Current NC RN license or NCS licensure via Nursing Compact

Professional Certification in Medical Coding

Job description

JOB DESCRIPTION

Responsible for analyzing and auditing medical records concurrently to ensure that the clinical information within the medical record is specific, accurate, clinical valid, complete, and compliant. Communicates need for improved documentation to providers to assure appropriate reimbursement for services provided and assure evidence-based practice guidelines are followed to maximize reimbursement for value-based purchasing.

Education And Credentials

Required

• Graduate of accredited nursing program.
• Current NC RN license or licensure from Nursing Compact State.
• Bachelor’s degree in Nursing.
• Professional Certification in Medical Coding required or obtained within four years of employment or placement into position.

Work Experience

Required

Five years of direct clinical nursing experience. Given training and on-the-job experience incumbent should be proficient in the basic aspects of the job within three months of employment date.

Preferred

Five years experience with a Clinical Documentation Improvement Program. Two years of experience in management.

ABOUT US

About Catawba Valley Medical Center

COMPREHENSIVE, ACCESSIBLE HEALTHCARE SERVICES IN THE CATAWBA VALLEY

As the region’s largest not-for-profit community hospital, we exist to heal and comfort patients, to promote and foster a healthier community, and to ensure access to healthcare to all who need it - regardless of ability to pay. With a wide array of medical specialties, our skilled nurses and providers are trained to treat virtually any type of injury or illness, providing high-quality, easily accessible healthcare close to home.

Our mission: Exceptional Healthcare. Every Person. Every Time.

At A Glance

• Region’s only level III Neonatal Intensive Care Unit (NICU)
• Women’s Choice Award winner for America’s Best 100 Hospitals for Patient Experience for six consecutive years
• American College of Surgeons Accredited Comprehensive Community Cancer Center

HIGH LEVEL OF TECHNICAL CARE FROM MEDICAL EXPERTS

Catawba Valley Medical Center offers a wide range of services from experienced medical specialists capable of addressing virtually any healthcare concern. Our current hospital holds 258 beds and serves the five-county Hickory area. Through our skilled medical practitioners and our highly trained staff, we strive to provide the highest level of medical expertise using the latest, state-of-the-art technology available.

One of our goals at Catawba Valley Medical Center is to provide seamless care between your primary care provider and our hospital. Being a part of a vast healthcare network allows for easier and more efficient communication between local physicians, medical specialists and our hospital. No one should have to travel far for the expert level medical treatment they need. We work with a plethora of medical specialists capable of diagnosing, treating and operating on a wide variety of conditions.