Clinical Documentation Specialist - RN

Clinical Documentation Specialist - RN Residents of: TX, Louisiana, FL, GA, TN, WA only!

At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the overall quality and completeness of clinical documentation. This position analyzes medical records for DRGs, complications, and comorbidities; identifies trends; and recommends documentation improvements. The specialist facilitates documentation changes through interaction with physicians, nursing staff, and coding staff to ensure appropriate reimbursement is received.

Additional duties include supporting the accuracy of clinical information used for measuring and reporting physician and hospital outcomes, and educating the patient care team on documentation best practices.

Exempt

• Medical School graduate with Western Medicine experience
• One year of clinical experience preferred

• CCDS - Clinical Documentation Specialists (ACDIS)
• CDIP - Certified Documentation Integrity Practitioner (AHIMA)
• CCS - Certified Coding Specialist (AHIMA)

• Demonstrates the required skills and competencies for safe job performance
• Proficiency in English speaking, reading, writing
• Effective communication with patients, physicians, family members and co‑workers
• Knowledge of DRG payer