Clinical Documentation Specialist III

Employer Industry: Healthcare

• Opportunity for career advancement and growth within the organization
• Engaging and supportive work environment focused on quality patient care
• Chance to make a significant impact on clinical documentation and patient outcomes
• Collaborate with a dedicated team of healthcare professionals
• Participate in educational sessions and training opportunities

• Assess clinical documentation through a thorough review of medical records to ensure accuracy in patient severity, risk of mortality, and resource utilization
• Interact with healthcare providers and coding staff to ensure appropriate reimbursement for services rendered
• Conduct post-discharge reconciliation for comparative analysis of clinical documentation
• Formulate clinical documentation clarifications to enhance accuracy of diagnoses and patient safety indicators
• Collaborate with healthcare teams to resolve physician queries prior to patient discharge

• Associates Degree in Nursing (Required)
• 5-6 years of Nursing experience, preferably in patient care, critical care, utilization management, quality, or patient navigation (Required)
• 3-4 years of Clinical Documentation Improvement (CDI) experience (Required)
• Registered Nurse (RN) license upon hire (Required)
• Certified Documentation Integrity Practitioner (CDIP) or Certified Clinical Document Specialist (CD) upon hire (Required)

• Bachelor's Degree in Nursing or a healthcare-related field
• Certified Coding Specialist (CCS) or Registered Health Information Administrator (RHIA) certifications
• Familiarity with ICD-10 coding rules and regulations
• Experience with 3M 360 or other coding encoders
• Strong organizational skills with attention to detail

#Healthcare #Clinical Documentation #Nursing Jobs #Career Growth #Patient Care

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