Clinical Documentation Specialist: Coding & Quality

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

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.