RN Clinical Documentation Specialist

20 hours ago


El Paso, Texas, United States Jobot Full time
Job Summary

We are seeking an experienced and dedicated Registered Nurse Clinical Documentation Specialist to join our team at a leading Academic Medical Center & Trauma Center. As a Clinical Documentation Specialist, you will work closely with hospital staff and providers to improve quality by initiating and performing chart review of selected inpatient records and ensuring accurate clinical documentation and coding for reimbursement.

Responsibilities
  • Perform chart review of selected inpatient records to ensure accurate clinical documentation and coding for reimbursement.
  • Work closely with hospital staff and providers to improve quality and ensure compliance with CMS rules and regulations.
  • Develop and implement strategies to improve clinical documentation and coding practices.
  • Provide education and training to hospital staff on clinical documentation and coding best practices.
  • Collaborate with the coding department to ensure accurate and compliant coding practices.
Requirements
  • ADN Degree Required, BSN Degree preferred.
  • Must have 3 or more years RN experience in a hospital setting.
  • At least 1 year experience with inpatient chart review, clinical documentation, CMS regulations, state and federal rules and regulations, etc.
  • Certified Clinical Documentation Specialist (CCDS) - OR - Certified Documentation Improvement Practitioner (CDIP) required.
  • Coding Certification (CCS, CIC, CPC) preferred.
  • Knowledge of ICD-10 and MS-DRG, CPT-4, E&M, APC.
  • Active TX RN license or ability to gain state licensure.


  • El Paso, Texas, United States Jobot Full time

    Job Title: Registered Nurse - Clinical Documentation ReviewerWe are seeking an experienced and dedicated Registered Nurse to join our team as a Clinical Documentation Reviewer. As a Clinical Documentation Reviewer, you will collaborate with CDI Specialists, Coders, and Providers to provide secondary case review and ensure accurate and thorough clinical...


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

    Job Summary: The Clinical Documentation Specialist RN plays a pivotal role in conducting critical, high-risk, and intricate secondary case reviews that are essential for accurate clinical documentation. This ensures that the severity of illness, expected risk of mortality, and complexity of patient care are properly reflected in provider documentation. By...


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

    Job Summary:The Clinical Documentation Specialist RN plays a pivotal role in conducting critical, high-risk, and intricate secondary case reviews that are essential for accurate clinical documentation. This ensures that the severity of illness, expected risk of mortality, and complexity of patient care are properly reflected in provider documentation. By...


  • El Paso, Texas, United States Jobot Full time

    About UsJobot is a leading Academic Medical Center & Trauma Center focused on community, respect, accountability, excellence, and services. We are dedicated to providing the highest quality care and most accessible care to everyone in the community.Job DetailsRN/Registered Nurse - Clinical Documentation Specialist (CCDS)The RN Clinical Documentation...


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

    Job Title: Clinical Documentation SpecialistAt University Medical Center of El Paso, we are seeking a highly skilled Clinical Documentation Specialist to join our team. The successful candidate will play a critical role in ensuring the accuracy and completeness of patient medical records.Job Summary:The Clinical Documentation Specialist will be responsible...


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

    {"title": "Clinical Documentation Specialist", "content": "Job SummaryAt University Medical Center of El Paso, we are seeking a skilled Clinical Documentation Specialist to join our team. As a Clinical Documentation Specialist, you will play a critical role in ensuring the accuracy and completeness of patient records, facilitating modifications to clinical...


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

    {"Job Title": "Clinical Documentation Specialist", "Job Description": "Job SummaryAt University Medical Center of El Paso, we are seeking a skilled Clinical Documentation Specialist to join our team. The successful candidate will be responsible for facilitating modifications to inpatient and outpatient clinical documentation, ensuring that accurate and...


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

    Job SummaryThe 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 ResponsibilitiesCollaborate with...


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

    Job Title: Clinical Documentation SpecialistAt University Medical Center of El Paso, we are seeking a highly skilled Clinical Documentation Specialist to join our team. The successful candidate will play a critical role in ensuring the accuracy and completeness of patient medical records.Key Responsibilities:Collaborate with healthcare teams to review and...


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

    Job Summary: The Clinical Documentation Specialist Registered Nurse plays a pivotal role in conducting critical, high-risk and intricate secondary case reviews that are essential for accurate clinical documentation. This ensures that the severity of illness, expected risk of mortality, and complexity of patient care are properly reflected in provider...


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

    Job Summary: The Clinical Documentation Specialist Registered Nurse plays a pivotal role in conducting critical, high-risk and intricate secondary case reviews that are essential for accurate clinical documentation. This ensures that the severity of illness, expected risk of mortality, and complexity of patient care are properly reflected in provider...


  • El Paso, Texas, United States Texas Tech University Health Sciences Center El Paso Full time

    Job Title: Documentation and Coding Compliance SpecialistJoin the Texas Tech University Health Sciences Center El Paso team as a Documentation and Coding Compliance Specialist. This role is responsible for performing coding and documentation quality audits, providing feedback to coding and reimbursement specialists, and educating them on compliance...


  • El Paso, Texas, United States US Oncology, Inc Full time

    Clinical Nurse Specialist OverviewUS Oncology, Inc. is seeking a Clinical Nurse Specialist to become part of our dedicated team. This role is pivotal in delivering exceptional care and support to our patients.As a leading provider in community oncology, we pride ourselves on our commitment to making high-quality cancer care accessible to diverse...


  • El Paso, Texas, United States Texas Tech University Health Sciences Center El Paso Full time

    Job Title: Documentation and Coding Compliance SpecialistWe are seeking a highly skilled Documentation and Coding Compliance Specialist to join our team at Texas Tech University Health Sciences Center El Paso. As a key member of our compliance team, you will be responsible for ensuring the accuracy and integrity of our healthcare documentation and coding...


  • El Paso, Texas, United States US Oncology, Inc Full time

    Job Title: Clinical Nurse SpecialistAt US Oncology, Inc, we are seeking a highly skilled Clinical Nurse Specialist to join our team. As a key member of our oncology team, you will play a vital role in providing high-quality patient care and contributing to the development of our clinical programs.Responsibilities:Assess patient health status and develop...


  • El Paso, Texas, United States Molina Healthcare Full time

    Job SummaryMolina Healthcare is seeking a skilled Clinical Appeals Specialist to join our team. As a Clinical Appeals Specialist, you will be responsible for making informed clinical decisions to ensure that our members receive the best possible care.Key ResponsibilitiesClinical Review and Decision Making: Conduct thorough reviews of medical claims and...


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

    Position Overview:We are seeking a committed Clinical Nurse Specialist to become an integral part of our healthcare team, dedicated to delivering outstanding patient care through the nursing process. In this pivotal role, you will be responsible for assessing, planning, implementing, and evaluating patient care to achieve optimal health outcomes....


  • El Paso, Texas, United States UMC Health System Full time

    Become a Vital Member of UMC Health System as a Clinical Nurse Specialist in Gastrointestinal and Surgical CareAt UMC Health System, we understand that delivering exceptional patient care starts with supporting our staff. We are proud to be recognized among the Best Companies to Work for in Texas.Position: Clinical Nurse SpecialistDepartment:...

  • Registered Nurse

    3 weeks ago


    El Paso, Texas, United States Res-Care, Inc. Full time

    Job SummaryWe are seeking a highly skilled Registered Nurse to join our team as a Clinical Care Specialist. In this role, you will be responsible for providing high-quality nursing care to our clients, assessing their health needs, and developing and implementing individualized care plans.Key ResponsibilitiesAssess the health needs of clients and develop and...


  • El Paso, Texas, United States Mobile Nursing & Rehab Full time

    General OverviewUnder the supervision of the Executive Director or Assistant Executive Director, the Clinical Nutrition Specialist delivers essential clinical services related to nutritional assessment and documentation, adhering to all applicable federal, state, and local regulations.This role involves ensuring compliance with established policies and...