Clinical Documentation & Data Specialist

Charleston Area Medical Center; Morgantown (WV); On-site; USD 55,000 - 75,000; Full time

Job summary

Charleston Area Medical Center in Morgantown, WV seeks a Clinical Data Specialist to ensure accuracy and completeness of clinical documentation to support coding and reporting compliance. You will coordinate between physicians, coders, and staff to promote precise diagnoses and procedures in the health record.

The role requires five years of clinical or coding experience, strong knowledge of ICD-9/ICD-10 and MSDRGs, and proficiency with data analysis and reporting tools.

Qualifications

• Five (5) years of clinical or coding experience in an acute care hospital.
• Working knowledge of ICD-9/ICD-10, MSDRGs, coding principles and guidelines or willingness to obtain.
• Knowledge of federal, state, and payor-specific regulations and policies pertaining to documentation, coding, and reimbursement or willingness to obtain.
• Proficient in organizational skills and planning.
• Proficient in computer use, including data and spreadsheet analysis, presentation programs and word processing.

Responsibilities

• Established track record of producing work that is highly accurate, demonstrates attention to detail and reflects well on the organization.
• Assists in analyzing medical record forms/electronic order sets to assure that diagnostic terminology is consistent with clinical documentation needed to support complete and accurate reporting.
• Strong leadership and interpersonal skills.
• Excellent written and oral communication skills, as well as critical thinking skills.
• Schedules/participates in CDI Leadership meetings by identifying educational topics and assisting with the coordination of participants’ schedules.
• Analyzes CDI scorecard to identify improvement opportunities and educational needs.
• Provides feedback and focused educational programs on the results of auditing and monitoring activities to affected staff and physicians.
• Builds rapport and develops alliances to achieve results. Adjust communication style to meet the needs of individuals at various organizational levels.
• Develops and coordinates education and training programs regarding appropriate documentation required for complete and accurate coding and reporting.

Skills

Clinical experience

Coding knowledge

ICD-9/ICD-10

MSDRGs

Regulatory knowledge

Communication skills

Education

Associate's Degree

Job description

Charleston Area Medical Center in Morgantown, WV seeks a Clinical Data Specialist to ensure accuracy and completeness of clinical documentation to support coding and reporting compliance. You will coordinate between physicians, coders, and staff to promote precise diagnoses and procedures in the health record.

The role requires five years of clinical or coding experience, strong knowledge of ICD-9/ICD-10 and MSDRGs, and proficiency with data analysis and reporting tools.