Clinical Documentation Specialist

6 days ago


Laredo, Texas, United States Laredo Medical Center Full time

About Us

Laredo Medical Center is a hospital located in sunny Laredo, Texas, just 150 miles south of historic San Antonio. Our goal is to provide high-quality patient care and support accuracy and quality in the patient records at our facilities.

Job Summary

We are seeking a skilled Clinical Documentation Specialist to join our team. As a Clinical Documentation Specialist, you will provide remote and onsite support of clinical documentation improvement activities to ensure that coded diagnoses are an accurate reflection of the patient's clinical status and care.

Key Responsibilities:

  • Provide remote and onsite support of clinical documentation improvement activities.
  • Maintain the long-term system success of CDI by providing inpatient auditing as well as program reporting, applications support and operations functions.
  • Educate members of the healthcare team about clinical documentation.
  • Demonstrate data quality and integrity skills.

Requirements

To perform this job successfully, an individual must have a comprehensive knowledge of medical terminology, disease processes and clinical competency. The ideal candidate should possess excellent communication (verbal and written), interpersonal, collaboration and relationship-building skills, strong critical thinking skills and ability to integrate knowledge, prioritization and organizational skills, and the ability to educate members of the healthcare team about clinical documentation.

Qualifications:

  • BSN, RN (ADN or BSN Acceptable) or comparable clinical degree.
  • Highly desired, but not required: American Health Information Management Association (AHIMA) credential, Certified Coding Specialist (CCS or CCDS), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT) or designation.
  • Prior experience in clinical documentation improvement, ICD coding and MS-DRGs preferred.
  • Minimum of one-year auditing experience strongly encouraged.

Salary and Benefits:

The estimated salary for this position is $75,000 - $90,000 per year, depending on experience. We offer a competitive benefits package, including sign-on and relocation bonuses for eligible applicants.

About the Role

This is a full-time opportunity with opportunities for professional growth and development. If you are a motivated and detail-oriented individual with a passion for clinical documentation, we encourage you to apply.



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