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Clinical Documentation Specialist FT - Gallatin, United States - Highpoint Health – Sumner
Description
Facilitates improvement in the overall quality, completeness, and accuracy of clinical documentation.Through concurrent interaction with physicians, case managers, coders and other health care team members, the Clinical Documentation Specialist, will strive to ensure comprehensive medical record documentation that reflects the clinical treatment, decisions, and diagnosis for all inpatients.
Serving as a resource to all members of the health care team on documentation guidelines, this position will provide guidance and support, as well as assist with education and training related to improving clinical documentation.
Reports to:
Market Director of Health Information Management
Minimum Education
Associate's or Bachelor's degree in related field, preferably in Nursing - Required
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Required Skills
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
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Required Skills
Licenses:
State of Tennessee or Multi-State Registered Nurse licensure - Required if degree is in Nursing
Coder Certification or CCDS - Required with degree in other related fieldDrag Edit Delete
Minimum Work Experience
4 years nursing experience in adult inpatient clinical role or 4 years coding experience (CCS) - Required
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
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