Clinical Documentation Specialist
4 weeks ago
We are a leading Academic Medical Center & Trauma Center dedicated to providing the highest quality care and most accessible care to everyone in the community. As a Registered Nurse Clinical Documentation Specialist, you will play a pivotal role in providing secondary case review and ensuring accurate and thorough clinical documentation. Your expertise will directly enhance patient outcomes through quality-focused reviews.
Key Responsibilities:
- Secondary case review and clinical documentation
- Quality-focused reviews to enhance patient outcomes
- Collaboration with healthcare teams to improve documentation
What We Offer
- Competitive Salaries
- PREMIER Medical, Dental & Vision
- Pension Plan
- Generous PTO
- Short & Long Term Disability
- Tuition Reimbursement
- Continued Education
Requirements
- BSN Degree Required
- 3 or more years RN experience in a hospital setting
- Prefer 3 or more years experience working with inpatient clinical documentation, mortality, PSI, HAC, or other quality-focused reviews
- Certified Clinical Documentation Specialist (CCDS) - OR - Certified Documentation Improvement Practitioner (CDIP) required
- Coding Certification (CCS, CIC, CPC) preferred
- Experience with ICD-10-CM/PCS, APR DRG, and MS DRG required
- Strong critical thinking & attention to detail
- Active TX RN license or ability to gain state licensure
Why Choose Us?
We are a Non-profit Academic Medical Center and leading Trauma Center. We offer a friendly work environment with unlimited career growth and industry-leading benefits. If you are passionate about delivering exceptional patient care and improving healthcare outcomes, we encourage you to apply for this exciting opportunity.
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