Clinical Documentation Specialist

Terrebonne General Health System; United States; On-site; USD 70,000 - 90,000; Full time

Job summary

A healthcare provider in the United States is seeking a Clinical Documentation Specialist. This role involves ensuring clinical documentation accuracy and coordinating coding and reimbursement processes. The ideal candidate should be credentialed as an RN, LPN, PA, NP, RHIA, RHIT, or CCS, with experience in clinical practice and familiarity with healthcare reimbursement systems. Strong data analysis skills and effective interaction with physicians are essential for success in this role.

Qualifications

• ICD-9CM hospital-based coding experience preferred.
• Credentialed as an RN, LPN, PA, NP, RHIA, RHIT, or CCS required.
• 3-5 years in clinical practice preferred.
• Experience with writing technical reports is desirable.

Responsibilities

• Ensure clinical documentation reflects services and care provided to patients.
• Coordinate physician clinical documentation and reimbursement processes.
• Identify and report opportunities for quality and performance improvement.
• Participate in performance improvement activities related to documentation.

Skills

ICD-9CM hospital-based coding experience

Case Management/Utilization review

Ability to analyze large amounts of data

Basic computer literacy

Effective interaction with physicians

Education

Credentialed as RN, LPN, PA, NP, RHIA, RHIT, or CCS

Tools

Windows

Word processing

Spreadsheets

Graphics

Databases

Job description

Clinical Documentation Specialist page is loaded## Clinical Documentation Specialistlocations: 8166 Main Sttime type: Full timeposted on: Posted 30+ Days Agojob requisition id: JR101797Day (United States of America)**Department:**100 - 820000 TG - Hospital Information Management**Position Description:**Responsible for ensuring that clinical documentation within the health system accurately reflects the services and care provided to patients and is consistent with the criteria for high-quality clinical documentation, Acts as a coordinator of physician clinical documentation, coding and reimbursement processes in working towards agreed upon quality and productivity targets for all services in the system. Identifies, monitors, and reports opportunities for quality and performance improvement to the appropriate department. Takes an active role in performance improvement activities as it relates to documentation improvement. Qualifications: ICD-9CM hospital-based coding experience preferred. Credentialed as an RN, LPN, PA, NP, RHIA, RHIT, or CCS required. Case Management/Utilization review experience preferred. Certification as a CCM, CPHQ preferred. Critical care or strong medical/surgical background required or surgical background if assigned to surgical areas; 3-5 years in clinical practice preferred. Familiar with government healthcare reimbursement systems. Have experience working collaboratively with diverse groups in a healthcare environment. Be successful in interacting effectively with physicians. Basic computer literacy is required; experience with Windows, word processing, spreadsheets, graphics, and databases is preferred. Have the ability to analyze large amounts of data to identify trends. Experience with writing technical reports is desirable.