RN Clinical Documentation Specialist

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities.

Job Description Summary:

Clinical Documentation provides a formalized approach to promote accurate and complete medical record documentation reflecting a patient's true severity of illness and risk of mortality. The CDS reviews inpatient medical records and identifies opportunities in provider documentation that will clarify patient severity of illness, risk of mortality, quality indicator measures and intensity of care rendered. The CDS collaborates with providers and HIM coding staff to ensure accurate clinical documentation by concurrently assigning DRG’s and capturing documentation specificity to support diagnosis and clinical indicators in the medical record.

Minimum Qualifications:

Bachelor's Degree (Required)RN - Registered Nurse - Ohio Board of NursingOhio Board of NursingOhio Board of NursingOhio Board of Nursing

Field of Study: Nursing with a current RN license in the State of Ohio Critical reasoning skills in clinical decision making, problem solving and ability to interpret data. Flexible, positive and clear interpersonal and communication skills with the ability to provide information in a collaborative manner with physicians and other staff. Organization and computer skills. Minimum 5 years Experience in adult inpatient medical/surgical or critical care setting

Work Shift:

Day

Scheduled Weekly Hours :

40

Department

UM and Care Coordination

Join us!
... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry