Clinical Documentation Specialist

1 month ago


Davenport, Iowa, United States GENESIS Health System Full time
Job Title: Clinical Documentation Specialist

GENESIS Health System is seeking a highly skilled Clinical Documentation Specialist to join our team. As a Clinical Documentation Specialist, you will play a critical role in ensuring the accuracy and completeness of patient medical records.

Key Responsibilities:
  • Review and analyze patient medical records to ensure accurate and complete documentation
  • Collaborate with healthcare providers to ensure accurate and complete documentation
  • Develop and implement education programs for healthcare providers on clinical documentation best practices
  • Conduct concurrent reviews of patient medical records to identify areas for improvement
  • Formulate compliant clarifications/queries following GENESIS Health System's documentation integrity procedures
Requirements:
  • Associate/Diploma Degree in Nursing, Health Information Technology, or Advanced degree in nursing (NP/APN) or Physician Assistant
  • Preferred certification or licensure includes: Current Registered Nurse License, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Professional (CDIP)
  • Experience in Critical Care, Medical or Surgical Inpatient Care Nursing, as an RN, physician assistant (PA), nurse practitioner/advanced practice nurse (NP/APN), or as an inpatient coder preferred
  • Excellent communication (verbal and written), interpersonal, collaboration and relationship-building skills
  • Strong critical thinking skills and ability to integrate knowledge
  • Prioritization and organizational skills required
  • Effective presentation/facilitation skills to accomplish educational goals for all members of the healthcare team
Working Conditions:
  • Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles
  • Must be able to spend majority of work time utilizing a computer, monitor and keyboard
  • Must be able to work with interruptions and perform detailed tasks
  • Ability to concentrate and read for long periods of time
  • Ability to work in an onsite and virtual environment

GENESIS Health System is an equal opportunity employer and welcomes applications from diverse candidates. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.



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