RN-Clinical Documentation Spec

TieTalent; Shady Spring (WV); On-site; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare facility is seeking a Clinical Documentation Specialist to ensure the integrity of clinical data. This role involves evaluating documentation quality, training physicians, and managing documentation queries. Ideal candidates will possess critical thinking skills and current RN licensure, with at least one year of inpatient coding experience preferred.

Benefits

Health Benefits (Medical, Dental, Vision)

401K Benefits

Competitive Paid Time Off

Educational Assistance

Professional Development Opportunities

Qualifications

• Required RN licensure in West Virginia.
• Minimum one year of inpatient coding experience preferred.
• Sensitivity to stressful environments and ability to act appropriately.

Responsibilities

• Evaluate the quality of clinical documentation.
• Provide training and education to physicians.
• Perform concurrent reviews of medical records.

Skills

Critical Thinking

Decisive Judgment

Ability to Work Independently

Stress Management

Education

Graduate of a Program in Discipline

RN 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.

• Shady Spring, West Virginia
  
  

Work experience

• Healthcare
  
  

Languages

• English