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Clinical Documentation Specialist

2 months ago


El Paso, Texas, United States University Medical Center of El Paso Full time
Job Summary

The University Medical Center of El Paso seeks a skilled Clinical Documentation Specialist to facilitate modifications to inpatient and/or outpatient clinical documentation. This role requires strong communication and interpersonal skills to support the capture of accurate clinical severity for all encounters.

Key Responsibilities
  • Collaborate with physicians and healthcare teams to ensure accurate and comprehensive clinical documentation.
  • Assess and evaluate clinical documentation to identify areas for improvement.
  • Develop and implement strategies to enhance clinical documentation quality and accuracy.
  • Stay up-to-date with CMS rules and regulations, and incorporate changes into daily practice.
  • Provide education and training to healthcare staff on clinical documentation best practices.
  • Participate in quality improvement initiatives to enhance clinical documentation processes.
Requirements
  • Three years of related clinical experience in an inpatient setting.
  • Currently licensed as a Registered Nurse.
  • Certified Coding Specialist (CCS) or Certified Documentation Improvement Practitioner (CDIP) or Certified Clinical Documentation Specialist (CCDS) preferred.
  • BSN required.