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RN Clinical Documentation Specialist Supervisor

2 months ago


Santa Fe, New Mexico, United States CHRISTUS Health Full time
Clinical Documentation Supervisor

We are seeking a skilled Clinical Documentation Supervisor to play a critical role in ensuring the accuracy and completeness of medical records at CHRISTUS Health. As a key member of our healthcare team, you will be responsible for facilitating improvement in the overall quality and completeness of medical record documentation.

Key Responsibilities:
  • Provide expert support and guidance through comprehensive assessment and review of inpatient medical records.
  • Facilitate accurate DRG assignment and obtain necessary documentation through extensive collaboration with physicians, ancillary healthcare providers, and health information management coding staff.
  • Offer guidance and support to RN Clinical Documentation Specialists and assist the Director as needed.
  • Coordinate meetings between CDI specialists and coders to ensure seamless communication.
  • Provide medical director/physician advisor with data reports for outreach and query response.
Requirements:
  • Graduate from a Registered Nurse program.
  • Current New Mexico RN license required.
  • BSN preferred.
Preferred Qualifications:
  • Minimum of 5 years recent experience in healthcare.
  • Prior experience in clinical documentation improvement, utilization review/management, discharge planning, quality management, case management or coding.
Working Conditions:
  • General office environment and general hospital department/nursing units.
  • Ability to walk and stand 80% of work time.
Reporting Structure:
  • Responsible to: The Director of case management and The physician Advisor.