Clinical Documentation Specialist RN — Elevate Care & Coding

St. Tammany Health System; Covington (LA); On-site; USD 65,000 - 90,000; Full time

Job summary

St. Tammany Health System in Covington, Louisiana seeks a Clinical Documentation Specialist to improve medical record documentation for severity of illness, risk of mortality, and case mix.

The CDS collaborates with physicians and care teams to ensure accurate CMS coding and HCC capture. The role requires an active Louisiana RN license and at least five years in acute or ambulatory care, with ICD-10, 3M, and Encoder proficiency and strong communication.

Qualifications

• RN license required in Louisiana.
• Five years of clinical experience in acute or ambulatory care.
• Knowledge of ICD-10 coding principles and Risk Adjustment Coding.
• Proficiency with Microsoft Office, 3M software and Encoder.

Responsibilities

• Facilitate improved integrity of medical record documentation with providers to support severity of illness, risk of mortality, acuity, and care complexity.
• Perform pre-visit and retrospective reviews to ensure CMS coding accuracy and HCC capture.
• Educate care team on documentation guidelines and coding requirements to support DRG accuracy.

Skills

Written and verbal communication

Independent worker

MS Office proficiency

Education

Louisiana RN license

BSN preferred

Tools

3M software

Encoder experience

Microsoft Office (PowerPoint, Excel, Word)

Job description

St. Tammany Health System in Covington, Louisiana seeks a Clinical Documentation Specialist to improve medical record documentation for severity of illness, risk of mortality, and case mix.

The CDS collaborates with physicians and care teams to ensure accurate CMS coding and HCC capture. The role requires an active Louisiana RN license and at least five years in acute or ambulatory care, with ICD-10, 3M, and Encoder proficiency and strong communication.