RN Clinical Documentation Specialist

8 hours ago


New Orleans, Louisiana, United States Ochsner Health Full time
Job Title: RN Clinical Documentation Specialist

We are seeking a highly skilled RN Clinical Documentation Specialist to join our team at Ochsner Health. As a key member of our clinical documentation team, you will play a critical role in ensuring the accuracy and completeness of patient medical records.

Responsibilities:
  • Perform medical record reviews to identify opportunities for improved documentation and accuracy
  • Collaborate with providers to clarify and obtain missing or unclear documentation
  • Communicate with providers, case managers, and coders to ensure comprehensive medical record documentation
  • Act as a resource for providers and coders to facilitate accurate DRG assignment
  • Participate in performance improvement initiatives to enhance clinical documentation practices
Requirements:
  • Graduate of an accredited school of nursing
  • 3 years of clinical experience working with minimal supervision
  • Current registered nurse license in the state of practice
  • Ability to work a flexible schedule, including 24/7, weekends, and holidays
What We Offer:
  • A dynamic and supportive work environment
  • Opportunities for professional growth and development
  • A competitive salary and benefits package

Ochsner Health is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive and respectful work environment that values diversity and promotes equity.



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