Clinical Documentation Specialist

2 months ago


Saint Paul, Minnesota, United States Regions Hospital Full time

Regions Hospital has an opportunity for an experienced Registered Nurse to join our team as a Clinical Documentation Specialist In this role, you will facilitate improvement in the overall quality, completeness and accuracy of medical record documentation for inpatient charts by utilizing clinical documentation program guidelines and technology platform. The Clinical Documentation Specialist obtains and promotes appropriate clinical documentation through extensive interaction with physicians, nursing and other patient care staff and facility coding staff to ensure that the clinical documentation reflects the level of service rendered to patients is complete and accurate. This position educates all members of the patient care team on documentation guidelines on an on-going basis and maintains a positive and open communication with physicians, interdisciplinary care team members and coding staff. The Clinical Documentation Specialist meets and/or exceeds productivity and quality expectations including but not limited to number of average daily reviews, query rate, missed query opportunities, clinician response rate and clinician agree rate.

At Regions Hospital you'll find a warm, diverse group of people who are committed to helping our patients - and each other. We foster an inclusive environment that encourages new ways of thinking, celebrates differences and recognizes hard work. We're also committed to living our values. This means you can expect us to be your partner and treat you with dignity and respect. Join our team and make good happen

Required Qualifications:

Degree in Nursing

Five (5) years of nursing experience in medical/surgical, critical care, intensive care or emergency room care

Licensed as a Registered Nurse with the Minnesota Board of Nursing

Preferred Qualifications:

Bachelor's degree in Nursing

Clinical documentation experience

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

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