Clinical Documentation Specialist I FT Days

Welcome to Carondelet Health Network, where making a real difference in people's lives is at the heart of everything we do. Beyond just medical treatments, we believe in the power of genuine connections and heartfelt compassion. It's what sets us apart and makes us truly special. 

When you join our team, you're not just stepping into a job – you're becoming part of a community that uplifts and supports each other every day. We know that healthcare requires a unique blend of talent and dedication, and we are fully committed to providing an environment that enriches and rewards your journey. 

Picture yourself among the brightest healthcare professionals, all united by a common purpose: caring for our community with unwavering commitment. At Carondelet, you won't just find colleagues; you'll find awe-inspiring teammates who share your passion for making a meaningful impact. 

If you're ready to go above and beyond, to embrace the energy and camaraderie that Carondelet Health System offers, then join us on this incredible adventure. Together, we'll create a healthier, happier world – one patient at a time. Let your career find its purpose here at Carondele

Clinical Documentation Specialist I Full Time Days Position Summary

Under general supervision of the Clinical Documentation Integrity Program Manager, the Clinical Documentation Specialist is responsible for improving overall quality and completeness of clinical documentation to accurately reflect patient severity of illness and risk of mortality through extensive interaction with physician, case management, nursing staff, other patient caregivers and coding staff. Ensures the accuracy and completeness of clinical information used for measuring and reporting physician outcomes.

SPECIAL SKILLS: Knowledge of care delivery documentation systems and related medical record documents. Detailed knowledge and understanding of MSDRGs and OIG work plan as it relates to correct coding and MSDRG assignment. Excellent written and verbal communication skills, critical thinking skills, and interpersonal skills to build effective relationships with physician, case management, nursing, coding, and hospital staff. Computer skills and familiarity with basic office equipment required. Ability to work independently in a time oriented environment. Self-directed, motivated, and possess a positive attitude.

THE CLINICAL DOCUMENTATION SPECIALIST I FULL TIME DAYS CANDIDATE WILL POSSESS THE FOLLOWING EDUCATION, LICENSE/CERTIFICATIONS, AND EXPERIENCE.

MINIMUM EDUCATION: Graduate of an accredited school of nursing, AHIMA accredited school, United States or international school of medicine.

MINIMUM EXPERIENCE: 0-2 years of CDS experience and 2 years recent acute care experience in a clinical or inpatient coding setting.

REQUIRED CERTIFICATIONS/LICENSURE: One of the following is required: RN, RHIA, RHIT, CCS, CIC, MD, DO, PA, NP.

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