Clinical Documentation Specialist
Little Rock, Pulaski County, Arkansas, 72208, USA
Listed on 2026-01-12
-
Healthcare
Healthcare Administration, Medical Records
Closing Date: 01/08/2026
Type of Position:
Professional Staff - Project/Program Administration
Job Type: Regular
Work Shift:
Day Shift (United States of America)
Sponsorship Available:
No
Institution Name:
University of Arkansas for Medical Sciences
The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans.
Benefits (available for benefits eligible positions only)- Health:
Medical, Dental and Vision plans available for qualifying staff and family - Holiday, Vacation and Sick Leave
- Education discount for staff and dependents (undergraduate only)
- Retirement:
Up to 10% matched contribution from UAMS - Basic Life Insurance up to $50,000
- Career Training and Educational Opportunities
- Merchant Discounts
- Concierge prescription delivery on the main campus when using UAMS pharmacy
Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening.
Position OverviewClinical Documentation Specialist – Remote; position will work from home. Work schedule between .
The Clinical Documentation Specialist is responsible for improving overall quality and completeness of clinical documentation to ensure that the information in the medical record accurately reflects the patient's severity of illness, clinical needs, and utilization of resources. This position is responsible for reviewing medical records to ensure the severity of illness and risk of mortality has been captured at the highest level.
This position works with the providers of care to capture the clinical care in a code format for reimbursement and to ensure UAMS has the correct case mix.
- Registered Nurse (RN) with current license plus 4 years inpatient adult clinical experience in Emergency, Critical Care, or Medical/Surgical area with experience in Quality, Case Management, Clinical Audit
- CCDS at hire or can obtain within 6 months of hire
- Current CCDS
- Two years of clinical documentation experience
- Reviews all admission types to the hospital to ensure severity is captured and educates the providers of care on admission types.
- Applies extensive clinical knowledge to read and analyze health record documentation, identifying all significant diagnoses, treatment, and procedures impacting acuity level and resources consumed throughout the current hospitalization; applies knowledge of disease processes, surgical procedures, UHDDS definitions, and the CMS/NCHS ICD-10 Official Coding Guidelines for Coding and Reporting to assign non-indexed terms to the appropriate class within the ICD-10 coding classification system.
- Interacts directly with physicians, nursing staff, other patient caregivers, coding staff, and other members of the health care team to facilitate clarification of clinical documentation and transfer of knowledge related to accurate documentation, coding, and reimbursement practices; ensures that documentation is clear, concise, and written in diagnostic terms reflecting the highest level of specificity.
- Develops and facilitates education related to clinical documentation improvement, coding guidelines, and regulatory requirements to all members of the healthcare team through one-on-one communication and classroom or large group presentations throughout the year as assigned.
- Performs other duties as assigned.
Commensurate with education and experience.
Required Documents to ApplyList of three Professional References (name, email, business title), Resume.
Optional DocumentsProof of Veteran Status.
Recruitment Contact InformationPlease contact ask recruitment for any recruiting related questions.
Application InstructionsAll application materials must be uploaded to the University of Arkansas System Career Site Please do not send to listed recruitment contact.
Persons Must Have Proof of Legal Authority to WorkPersons must have proof of legal authority to work in the United…
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