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Clinical Documentation Specialist

2 months ago


El Paso, Texas, United States University Medical Center of El Paso Full time
Job Title: Clinical Documentation Specialist

At 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 revise clinical documentation to ensure accuracy and compliance with regulatory requirements.
  • Utilize critical thinking skills to assess and evaluate clinical documentation for quality and accuracy.
  • Develop and maintain knowledge of regulatory requirements, including CMS rules and regulations.
  • Stay up-to-date with industry developments and best practices in clinical documentation.
  • Work closely with coding and quality teams to ensure accurate and compliant coding practices.

Requirements:

  • Three years of related clinical experience in an inpatient setting.
  • Currently licensed as a Registered Nurse.
  • Certified Coding Specialist (CCS) or Certified Documentation Improvement Practitioner (CDIP) or Certified Clinical Documentation Specialist (CCDS) preferred.
  • BSN required.

About Us:

University Medical Center of El Paso is a leading healthcare provider in the region, dedicated to delivering high-quality patient care and exceptional service. We are committed to fostering a collaborative and inclusive work environment that supports the growth and development of our employees.