Clinical Documentation Specialist RN
12 hours ago
We are seeking a highly skilled and knowledgeable Registered Nurse to join our team as a Clinical Documentation Improvement Specialist RN. This role is responsible for reviewing and improving the accuracy and completeness of clinical documentation in patient medical records.
Key Responsibilities:- Conduct concurrent reviews of provider in-patient medical record documentation to ensure accuracy and completeness.
- Facilitate modifications to clinical documentation through interaction with providers and other healthcare team members.
- Communicate with providers to ensure timely and accurate documentation.
- Utilize specific software to code documentation using ICD-10 codes.
- Provide education and training to medical staff as needed.
- Minimum of 5 years RN experience in Acute Care, Medical/Surgical, or ICU.
- BSN required; RN Diploma or Associate's degree accepted with commitment to obtain BSN within 5 years.
- Active RN license in North Carolina or Virginia.
- Competitive salary and benefits package.
- Opportunities for professional growth and development.
- Collaborative and supportive work environment.
Sentara Healthcare is a leading healthcare system in Virginia and North Carolina, committed to improving health every day. We value diversity, inclusion, and belonging, and strive to create a workplace that reflects the communities we serve.
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