Clinical Documentation Specialist, RN

Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:

Responsible for overall improvement of quality and completeness of medical record documentation through concurrent auditing and evaluation of documentation to adequately reflect care provided and resources used.

Responsibilities:

EDUCATION B.S.

in Nursing or Associate Degree in Nursing required.

EXPERIENCE

Minimum of two years experience in ICD-10 coding in an acute care setting with a strong DRG background required. Knowledge of coding, regulatory and The Joint Commission guidelines with a strong clinical background preferred.

LICENSURE/REGISTRATION/CERTIFICATION

RN or BSN required. CDIP or CCDS credential preferred.

OTHER SKILLS AND QUALIFICATIONS

Advanced knowledge of anatomy, physiology and medical terminology Intermediate to advanced knowledge of computer systems Microsoft Office (Word, Excel, PowerPoint) experience required Excellent written and oral communication skills required Developed knowledge of anatomy, physiology and medical terminology, coding and reporting guidelines and ability to apply same Previous Quadramed Quantim experience preferred Previous Meditech experience preferred

Job Details Legal Employer:

Lenoir Health Entity:

UNC Lenoir Health Care Organization Unit:

CDI Work Type:

Full Time Standard Hours Per Week:

40.00

Work Assignment Type:

Onsite Work Schedule:

Day Job Location of Job:

LENOIR MEM

Exempt From Overtime:

Exempt:

No Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.