Clinical Documentation Specialist

4 weeks ago


Sioux Falls, South Dakota, United States Trinity Health Full time
Job Summary:

We are seeking a skilled Clinical Documentation Specialist to join our team at MercyOne Siouxland Medical Center. As a Clinical Documentation Specialist, you will play a critical role in ensuring the accuracy and integrity of patient medical records. Your expertise will help us maintain high-quality documentation, which is essential for providing excellent patient care and supporting our coding and reimbursement efforts.

Key Responsibilities:
  • Conduct thorough reviews of patient medical records to ensure accurate and complete documentation of clinical information.
  • Collaborate with healthcare providers and other team members to educate them on proper documentation practices and address any documentation-related issues.
  • Develop and implement strategies to improve documentation quality and consistency across the organization.
  • Participate in coding and reimbursement initiatives to ensure accurate and compliant coding practices.
  • Stay up-to-date with regulatory requirements and industry standards related to clinical documentation and coding.

Requirements:
  • Associate's or Bachelor's degree in Nursing, Health Information Technology, or a related field.
  • Minimum 3 years of experience in clinical documentation, coding, or a related field.
  • Preferred certifications include Registered Nurse License, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Clinical Documentation Specialist (CCDS), or Certified Documentation Improvement Professional (CDIP).

What We Offer:
  • A competitive salary and benefits package.
  • Opportunities for professional growth and development.
  • A collaborative and supportive work environment.
  • The chance to make a meaningful difference in the lives of our patients and their families.

About Us:

MercyOne Siouxland Medical Center is a 238-bed regional facility that serves the needs of individuals in a 33-county area. We are proud to be a part of Trinity Health, one of the largest not-for-profit, Catholic healthcare systems in the nation. Our commitment to diversity, equity, and inclusion is reflected in our Mission and Core Values, and we strive to create a workplace that is inclusive and respectful of all colleagues and patients.

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