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Concordia Lutheran Ministries

Quality Workflow Coordinator: Southpointe office

Career Insights for Clinical Documentation Specialist

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What they do

A Clinical Documentation Specialist works with information technology systems and applications in health care organizations. Assists clinicians and staff with technology and implementing new systems. Creates systems for organizing and interpreting data and information for clinical trials. Records and manages clinical information about patients, including health assessments and diagnoses, test results, treatments, and follow up care requirements. Reviews and maintains patient records.

$61,571 / year median in Pennsylvania

-3% projected decline

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Job Description

Concordia Visiting Nurses is a Medicare-certified, state licensed, Medicaid approved home health agency operating in nine Western Pennsylvania counties. For well over a decade, Concordia Visiting Nurses has provided high-quality skilled nursing, palliative care, and a variety of therapy services to our patients. Our goal is to deliver quality home health services, in good faith, to those who entrust themselves to our care and to minister to the unique needs of each individual with respect, dignity, and compassion. We strive to hire excellent people at Concordia - and keep them as well! OASIS Registered Nurse Position At Concordia Visiting Nurses, we are committed to providing compassionate, high-quality care that helps our patients remain safe, independent, and comfortable in their own homes. We are seeking an
OASIS RN
to join our clinical team and support the accuracy, completeness, and quality of OASIS assessments and clinical documentation. This is an in-office position and will work closely with our clinical and leadership teams to ensure OASIS documentation meets Medicare and regulatory requirements. Why Join Concordia Visiting Nurses? Competitive salary Comprehensive benefits package, including health insurance and paid time off Top-tier retirement plan Opportunities for professional growth and development Supportive and collaborative work environment The opportunity to make a meaningful impact on the quality of patient care What You'll Need Current, valid Pennsylvania Registered Nurse (RN) license Home health nursing experience strongly preferred OASIS experience required Strong knowledge of OASIS assessment requirements and Medicare regulations Excellent attention to detail and organizational skills Strong written and verbal communication skills Ability to work independently while collaborating effectively with clinical staff Proficiency with electronic health records and Microsoft Office What You'll Do As an
OASIS RN
; you will be responsible for reviewing OASIS assessments and supporting clinical staff with accurate and compliant documentation.
Responsibilities include:
Reviewing OASIS assessments for accuracy, completeness, and consistency Ensuring OASIS documentation supports the patient's clinical condition and plan of care Reviewing documentation for compliance with Medicare and home health regulations Identifying discrepancies, missing information, and opportunities for improvement Collaborating with clinicians to clarify and correct OASIS documentation when needed Providing guidance and education to clinical staff regarding OASIS requirements and documentation standards Reviewing assessments for appropriate coding and clinical consistency Supporting accurate patient outcomes and reimbursement through thorough OASIS review Staying current with changes to OASIS guidance, Medicare requirements, and home health regulations Maintaining timely and accurate documentation within the electronic medical record Working collaboratively with the clinical team to promote quality, compliance, and positive patient outcomes
About Concordia Visiting Nurses:
Since 1881, Concordia Lutheran Ministries has been a place with a mission of caring. A place for healing. A place to feel comfortable. And a place where heartfelt Christian faith and a strong sense of service to others help us make a difference every day.
OUR Mission:
To serve our aging community with a continuum of high-quality caregiving options, provided in a Christian environment, and to serve those with limited funds to the best of our ability. Respect. Dignity. Compassion. Our Mission, Your Future!
EOE Benefits:
Health/Dental/Vision Insurance Workplace Wellness 403(b) Retirement Plan Paid Life Insurance Policy Direct Deposit Tuition Reimbursement Program Vacation/PTO Paid Holidays Competitive Wages Referral Program Seniority/Appreciation Bonuses Funeral Leave Voluntary Benefits Employee Assistance Program EOE Benefits and Wages may vary based on location. Minimum hours worked per week/status may be required for certain benefit eligibility.