RN-Clinical Documentation Spec

TieTalent; Prosperity (WV); On-site; USD 60,000 - 75,000; Full time

Job summary

A healthcare provider in Prosperity, West Virginia, seeks a professional to ensure clinical data integrity within the facility. The individual will aid in improving documentation and work closely with physicians to meet documentation requirements. Candidates should hold a nursing license and have a background in inpatient coding, ensuring quality clinical documentation.

Benefits

Health (Medical, Dental, Vision) benefits for full-time employees

Competitive Paid Time Off

Educational assistance and tuition assistance

Professional development opportunities

Qualifications

• Education: Graduate of a Program in Discipline required.
• Licensure: Current registered nurse licensure required.
• Experience: One year of inpatient coding experience preferred.

Responsibilities

• Evaluate the Quality of Clinical Documentation.
• Provide training and education to the physicians.
• Perform concurrent reviews of medical records.

Skills

Critical thinking skills

Decisive judgment

Ability to work with minimal supervision

Ability to work in a stressful environment

Education

Graduate of a Program in Discipline

Current registered nurse licensure

Job description

About

Description:

Raleigh General Hospital

Who We Are

People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Raleigh General Hospital is a 300 bed facility caring for nearly 13,000 patients each year with over 50,000 being treated in our emergency room. We offer a wide range of surgical services as well as specialty programs including Cardiac CTA, Digital Mammography, and Trauma Services.

Where We Are

Beckley is an ideal place to live and boasts many scenic, cultural, and recreational opportunities. From restaurants and breweries to art galleries and unique attractions, Beckley is an outdoor playground with something for all tastes.

Why Choose Us

• Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
• Competitive Paid Time Off / Extended Illness Bank package for full-time employees
• Employee Assistance Program – mental, physical, and financial wellness assistance
• Educational assistance and tuition assistance for qualified applicants
• Professional development opportunities and CE assistance
• And much more…
  
  

Job Summary

Provide clinical data integrity to the facility.

Serve as resource for facility regarding documentation in the medical record.

Performs concurrent reviews of the medical record to improve documentation and educates physicians regarding documentation requirements as needed.

Reports to: Director of Emergency Services

Essential Functions

Evaluates the Quality of Clinical Documentation.

Provides training and education to the physicians.

Provides Work Flow Direction.

Responsible for Queries.

Qualifications

JOB REQUIREMENTS

Minimum Education

Graduate of a Program in Discipline - Required

Required Skills

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

Certifications

Basic Life Support (BLS) to be obtained within 30 days

Required Licenses

(West Virginia, United States) Other

Current registered nurse licensure.

Minimum Work Experience

One (1) year of Inpatient Coding experience preferred.

EEOC Statement

Raleigh General Hospital is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.

• Prosperity, West Virginia
  
  

Languages

• English