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Norman Regional Health System

Facility Clinical Documentation Specialist RN

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Based on Oklahoma data

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What they do

A Document Control or Management Specialist manages written and electronic documents for an office or company. Develops or maintains systems for keeping track of documents, including labeling, retrieving, distributing, recovering and destroying documents as needed.

$46,082 / year median in Oklahoma

+3% projected growth

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Job Description

Facility Clinical Documentation Specialist RN Norman Regional Health System - 3.3 Norman, OK Job Details Full-time $31.31 - $51.14 an hour 7 hours ago Benefits Free parking Paid holidays Disability insurance Health insurance Dental insurance Tuition reimbursement Paid time off Vision insurance Opportunities for advancement Life insurance Retirement plan Qualifications Nursing RN License Associate's degree Associate Degree in
Nursing Nursing Full Job Description Overview:
Compensation / Benefits $31.31-$51.14/hr based on previous work experience Benefits include medical, dental, vision, short-term disability, long-term disability, life insurance, paid time off (PTO), paid holidays, tuition reimbursement, scholarship opportunities, retirement plans, free parking, and opportunities for advancement
Responsibilities:
Improves the overall quality and completeness of clinical documentation by performing systematic chart reviews on a daily basis, querying physicians and proactively soliciting clarification from physicians, as needed. Demonstrates knowledge of documentation requirements and coding guidelines that pertain to diagnosis coding to accurately reflect the complexity and medical necessity of the encounter. Routinely participates/provides education (including one-on-one education) to physicians, facility/clinic staff and other key healthcare providers. Utilizes software systems to collect and ensure the effectiveness of the data.
Qualifications:
Education Associates Degree in Nursing required, Bachelors of Science in Nursing preferred. Experience 3 to 5 years direct clinical nursing experience required Experience in a broad range of clinical situations/settings preferred (Above requirements can be met by equivalent combination of education and experience) Licensure/Certification Current Oklahoma RN licensure required Professional certification in Clinical Documentation, CCDS, CCDS-O or CDIP preferred and/or Professional coding certification, RHIA, RHIT, CCS, CCS-P, COC or CRC preferred Other Knowledge/Skills/Abilities Knowledge of Excel, Microsoft Word, Microsoft PowerPoint and Microsoft Outlook Strong interpersonal, communication (verbal and non-verbal and listening) skills Experience in developing and presenting education programs Analytical skills Needs to be self-motivated, self-directed and able to work independently with minimal supervision Well organized and detail oriented Capable of critical thinking, reasoning, deduction and inference while displaying the ability to draw accurate conclusions If not already obtained, certification in Clinical Documentation and/or coding certification is voluntary but highly recommended within 3 - 5 years.