Clinical Documentation Specialist: Elevate Care & Coding

St. Tammany Health System; Covington (LA); On-site; USD 65,000 - 95,000; Full time

Job summary

St. Tammany Health System seeks a Clinical Documentation Specialist (CDS) to improve medical record documentation integrity. You will work with physicians and the care team to ensure accurate coding, severity of illness, and appropriate DRG representation.

The ideal candidate is a Louisiana-licensed RN with 5 years of clinical experience in acute or ambulatory care and proficiency in ICD-10, 3M, and Encoder systems. Strong communication and organizational skills are essential.

Qualifications

• Graduate of an accredited School of Nursing and current Louisiana Registered Nurse License required.
• Five (5) years of clinical experience in an acute or ambulatory care setting.
• Knowledge of ICD-10 coding principles and Risk Adjustment Coding.
• Proficiency in Microsoft Office applications (PowerPoint, Excel, Word), 3M software, and Encoder experience.
• Excellent written and verbal communication, critical thinking, and interpersonal skills.
• Knowledge of complex disease processes in outpatient settings; works independently with minimal supervision.
• Proficient organizational and planning skills.

Responsibilities

• Facilitate improved integrity of medical record documentation with providers.
• Perform pre-visit and retrospective reviews to support risk adjustment strategy.
• Educate care team on documentation guidelines, coding requirements, and service-line needs.
• Collaborate with physicians and APs to communicate opportunities for documentation improvement.

Education

Louisiana RN License

BSN preferred

Tools

PowerPoint

Excel

Word

3M software

Encoder

Job description

St. Tammany Health System seeks a Clinical Documentation Specialist (CDS) to improve medical record documentation integrity. You will work with physicians and the care team to ensure accurate coding, severity of illness, and appropriate DRG representation.

The ideal candidate is a Louisiana-licensed RN with 5 years of clinical experience in acute or ambulatory care and proficiency in ICD-10, 3M, and Encoder systems. Strong communication and organizational skills are essential.