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    Clinical Documentation Specialist - Columbus, United States - Trinity Health

    Trinity Health background
    Description
    Employment Type:
    Full timeShift:

    Description:
    Clinical Documentation Specialist
    Why Mount Carmel?

    With five hospitals, over 60 free-standing outpatient clinics, a college of nursing, a Medicare Advantage plan, and extensive outreach and community wellness programs, Mount Carmel Health System serves more than a million patients in central Ohio each year, and we've been a pillar of this community for more than 130 years. As a proud member of Trinity Health, one of the nation's largest Catholic healthcare delivery systems, our network of caring spans 22 states, 94 hospitals, and 133,000 colleagues nationwide.

    We know that exceptional patient care starts with taking care of our colleagues, so we invest in great people and all that we ask in return is that you come to work ready to make a difference and do the right thing.

    What we offer:
    • Competitive compensation and benefits packages including medical, dental, and vision coverage
    • Retirement savings account with employer match starting on day one
    • Generous paid time off programs
    • Employee recognition incentive program
    • Tuition/professional development reimbursement
    • Relocation assistance (geographic restrictions apply)
    • Discounted tuition and enrollment opportunities' at the Mount Carmel College of Nursing
    Why Columbus?

    The nation's 14th largest city, Columbus, Ohio is one of the fastest growing major metropolitan areas in the Midwest - ranked #1 for population growth, #1 for job growth, #1 for wage growth, and #1 real estate market. And with a vibrant blend of professional sports, world-class attractions, creative cuisines, and a flourishing music and arts scene, you'll never be found wanting for entertainment and experiences to call your own in Columbus. Learn more at

    About the job:

    Job Summary

    In accordance with the Mission and Guiding Behaviors; the Clinical Documentation Specialist utilizes advanced clinical and coding expertise to direct efforts toward the integrity of clinical documentation through the roles of reviewer, educator and consultant. Facilitates the overall quality, completeness, accuracy, and integrity of medical record documentation through extensive record review.

    Through extensive interaction with physicians and other members of the healthcare team, achieves appropriate clinical documentation to support code assignment, medical necessity, severity of illness, risk of mortality, and level of services rendered to all patients. Participates in the development and delivery of education for providers and members of the healthcare team. Job

    Qualifications (Knowledge, Skills, and Abilities)
    • Education: Associate/Diploma Degree in Nursing and minimum 5 years acute care medical or surgical experience required. Bachelor of Science in Nursing preferred. A degree in Health Information Management with credentials of RHIA, RHIT, or CCS with extensive clinical knowledge and a minimum of 5 years inpatient coding experience will be considered in lieu of a RN..
    • Licensure / Certification: Current Registered Nurse License in the State of practice. Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT), or Certified Coding Specialist (CCS) will be considered in lieu of a RN. Certified Clinical Documentation Specialist (CCDS) preferred.
    • Experience: Minimum of 5 years acute care medical or surgical experience required; Utilization/Case Management, managed care, or Clinical Documentation with experience in ICD-10 coding conventions and DRG methodology preferred.
    • Effective Communication Skills
    The above statements are intended to describe the general nature and level of work being performed by persons assigned to this classification. They are not to be construed as an exhaustive list of duties so assigned.

    Our Commitment to Diversity and Inclusion

    Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.


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