Clinical Documentation Specialist

11 hours ago


Springfield, Illinois, United States CoxHealth Full time

Unlock Your Potential in a Best-in-Class Work Environment

CoxHealth is proud to be recognized as one of the best places to work in the country, and we're looking for talented individuals to join our team as a Clinical Documentation Specialist.

What We Offer

  • A comprehensive benefits package, including medical, vision, and dental coverage, as well as a 6,000 sign-on bonus and 40 hours of front-loaded time off.
  • A robust tuition reimbursement program and education discounts for continuing your education.
  • A state-of-the-art fitness center and child care discounts.
  • Onsite delivery for CoxHealth Pharmacies and the 1906 Employee Store.

About the Role

This position is responsible for facilitating timely and accurate physician documentation in the medical record through concurrent chart review. Interdisciplinary communication and collaboration with physicians, nursing, and ancillary staff, including Health Information Management coders, is key to the success of this position. This role also involves ongoing education of the patient care team regarding proper clinical documentation using approved guidelines.

Requirements

  • Education: Graduate of an approved nursing program, with a Bachelor's Degree in Nursing preferred.
  • Experience: 3 years of acute care experience, with 5 years preferred.
  • Skills: Ability to apply coding guidelines when reviewing documentation in the medical record, perform computer data entry, and work effectively with others.
  • Licensure/Certification/Registration: Registered Nursing License, with CCDS or CDIP certification preferred.


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