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Clinical Documentation Specialist

1 month ago

Houston, Texas, United States Memorial Hermann Health System Full time
Clinical Documentation Improvement Auditor

At Memorial Hermann Health System, we strive to deliver exceptional patient care while fostering a culture of compassion, innovation, and excellence. As a Clinical Documentation Improvement Auditor, you will play a vital role in ensuring the accuracy and completeness of medical records, driving quality improvement initiatives, and promoting best practices in clinical documentation.

Key Responsibilities:
  • Audit medical records to identify areas for improvement and ensure compliance with regulatory requirements
  • Develop and implement education programs to enhance clinical documentation skills among healthcare providers
  • Collaborate with leadership to conduct focused post-discharge documentation and coding audits
  • Stay up-to-date on clinical and coding guidelines, and apply knowledge to improve documentation practices
  • Provide training and education to physicians and clinical documentation specialists as needed
Requirements:
  • Bachelor's degree in Nursing, required; Master's degree in Nursing or Management, preferred
  • Current State of Texas license or temporary/compact license to practice professional nursing
  • Certified Clinical Documentation Specialist (CCDS) certification, required; AHIMA ICD-10-CM/PCS Trainer certification, preferred
  • Minimum of three to five years of CDS experience, with previous CDIS auditing and education experience and/or CDIS supervisory/management background, preferred
What We Offer:
  • A dynamic and supportive work environment
  • Opportunities for professional growth and development
  • A competitive salary and benefits package
  • A commitment to diversity, equity, and inclusion

Join our team of dedicated professionals who are passionate about delivering exceptional patient care and advancing the field of clinical documentation improvement. Apply today to become a Clinical Documentation Improvement Auditor at Memorial Hermann Health System