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Clinical Documentation Specialist RN
4 weeks ago
We are seeking an experienced and dedicated Registered Nurse Clinical Documentation Specialist to join our team at a leading Academic Medical Center & Trauma Center. Our organization is committed to providing the highest quality care and most accessible care to everyone in the community.
Job SummaryThe RN Clinical Documentation Specialist will play a pivotal role in providing secondary case review and ensuring accurate and thorough clinical documentation. This position will directly enhance patient outcomes through quality-focused reviews.
Responsibilities- Provide secondary case review and ensure accurate and thorough clinical documentation
- Enhance patient outcomes through quality-focused reviews
- Work collaboratively with the healthcare team to improve clinical documentation
- Develop and implement strategies to improve clinical documentation
- Monitor and analyze clinical documentation data to identify areas for improvement
- 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 required
- 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
- Competitive Salaries
- PREMIER Medical, Dental & Vision
- Pension Plan
- Generous PTO
- Short & Long Term Disability
- Tuition Reimbursement
- Continued Education
We are a Non-profit Academic Medical Center and leading Trauma Center. We are dedicated to providing the highest quality care and most accessible care to everyone in the community. We offer a friendly work environment with unlimited career growth and industry-leading benefits.
