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Clinical Documentation Specialist

3 months ago

San Angelo, Texas, United States Shannon Health Full time
Job Summary

The clinical documentation specialist works collaboratively with physician and coding staff to ensure that the documentation in the medical record accurately reflects the quality and level of care provided.

The overall goal of the position is to improve clinical documentation for quality assurance and revenue compliance and integrity.

Scope & Impact:

Through clinical validation queries emphasizing a reduction in reported hospital-acquired conditions and increasing clinical evidence in support of certain ICD-10 guidelines, the CDI specialist is responsible for generating revenue and positively impacting the overall operating budget of the organization.

Education

Education Type

Program of Study

Required/Preferred

High School Diploma

N/A

Required

Associates Degree

Nursing

Required

Bachelor's Degree

Nursing related field

Preferred

Experience

Number of Years

Type of Experience

Required/Preferred

1 year

Clinical documentation improvement and/or clinical coding

Preferred

3 years

Nursing experience acute care/hospital setting/case management

Preferred

Certification & Licensures
Un-encumbered Texas Registered Nurse License Required

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