Clinical Documentation Specialist

3 weeks ago


Wichita Falls, Texas, United States Ascension Full time

Overview

We are seeking a highly skilled Clinical Documentation Specialist to join our team at Ascension Via Christi. As a member of our Health Information Management department, you will play a critical role in ensuring the accuracy and completeness of patient medical records.

About the Role

This is a full-time position working 8am-4:30pm, Monday through Friday, with occasional travel to the hospital location. You will be responsible for developing, implementing, and overseeing the Clinical Documentation Integrity (CDI) audit plan, utilizing audit findings to develop formal and informal training to physicians, mid-level providers, and ancillary staff.

Key Responsibilities

  • Develop and implement the CDI audit plan and schedule, including concurrent and retrospective reviews of medical records
  • Create formal and informal training and education materials related to audit findings and staff feedback
  • Implement and facilitate training with CDI staff, physicians, clinical, and ancillary staff to improve the overall quality and completeness of clinical documentation
  • Assist leadership in developing meaningful goals, metrics, and targets representing CDI's work performance and provider documentation performance

Requirements

  • Clinical Documentation Proficiency credential from the Association of Clinical Documentation Improvement Specialists
  • Licensed Registered Nurse credential from the Kansas Board of Nursing
  • Diploma from an accredited school/college of nursing or required professional licensure at time of hire

Benefits

  • Paid time off (PTO)
  • Various health insurance options & wellness plans
  • Retirement benefits including employer match plans
  • Long-term & short-term disability
  • Employee assistance programs (EAP)
  • Parental leave & adoption assistance
  • Tuition reimbursement

Compensation

The estimated annual salary for this position is $65,000-$80,000, based on experience and qualifications. Benefits and compensation may vary based on factors such as education, skills, and performance.

About Ascension

Ascension Via Christi caregivers have been caring for and providing healing to Kansas communities for over 135 years. As the largest healthcare provider in Kansas, we offer career opportunities across multiple hospitals, clinics, therapy centers, and home health services. Ascension is a leading non-profit, faith-based national health system with over 134,000 associates and 2,600 sites of care.



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