Education and Formal Training:

Associate's degree in Nursing required Bachelor's degree in Nursing preferred Medical/Osteopathic Doctorate (MD/OD) or an international qualified physician (IMD/MBBS) preferred Nurse candidates must have current Registered Nurse licensure in North Carolina or compact/multi-state license required

Work Experience:

Nursing candidates must have 5 years of clinical experience in inpatient hospital setting with 1 year of critical care experience (ED, ICU, etc) required Medical/Osteopathic Doctorate (MD/OD) candidates working towards their degree must have 4 years of inpatient hospital setting experience required 2 years of

ICD-10 CDIS

experience required

Knowledge, Skills, and Abilities Required:

Proficiency in reading, writing, and speaking the English language Excellent observation skills Critical analytical thinking, problem solving skills Verbal and written communication skills Basic knowledge of computers, Microsoft Windows software products and keyboarding skills Ability to communicate with people from various professions and backgrounds with tact and diplomacy Ability to remain calm in stressful situations Knowledge of DRG Payor issues, documentation opportunities and clinical documentation requirements Flexible with changing workload/assignments Demonstrate positive teamwork/interpersonal relations with all members of teams (coworkers, supervisors, physicians, nurses, etc) Ability to work with highly sensitive information and materials where confidentiality is of the utmost importance Remote CDS workers must have and maintain secure space and internet connection

Physical Requirements:

Some light carrying, lifting may be required Occasional walking required to access all areas of the medical center Near visual acuity to proofread hand or type written materials Reaching, handling and use of fingers to operate office machinery Position may involve skin, eye, mucous membrane or parenteral contact with blood or other potentially infectious materials Must be able to lift 35 pounds Required Licenses and Certifications RN - Board Of Nursing Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity For exceptional healthcare come to Cape Fear Valley Health where caring employees are committed to integrity, patient-centeredness and excellence throughout the entire healthcare process. At Cape Fear Valley Health, our goal is to improve the quality of every life we touch. Our diverse team of doctors, nurses and staff work together to create a better experience for every patient, every time. Cape Fear Valley is a 950-bed, 8-hospital regional health system, the 8th largest in North Carolina, with more than 1 million inpatient and outpatients annually. A private not-for-profit organization with over 7,000 employees and 850 physicians. Our employees and physicians proudly serve a seven-county region of southeastern North Carolina, including Fayetteville, Fort Bragg, Hope Mills, Raeford, Lumberton, Elizabethtown, Clinton, Lillington, Dunn and beyond. 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Clinical Documentation Specialist II- Full Time Days