What are the responsibilities and job description for the RN Clinical Documentation Specialist- Medical Records position at HH Health System?
Overview
Responsible for facilitating the improvement in the overall quality and completeness of medical record documentation. Obtain appropriate clinical documentation through extensive interaction with physicians, nursing, patient caregivers, and coders. To ensure that appropriate patient centered clinical data, quality metrics and reimbursement is received for the level of services rendered. That the clinical information utilized in profiling and reporting outcomes is complete and accurate. On a consistent basis the individual will maintain ongoing education relative to CDI/ACDIS/AHIMA and the Coding Clinic.
Qualifications
Education required: Graduate of an accredited school of nursing
Education preferred: Associates Degree in Nursing or BSN, MSN
License, Certification and/or Registration: Current Alabama Nursing License. CCDS Certification Preferred or will obtain post 2-3years.
Experience: Prefer at least 3-7 years of experience in an acute care hospital setting. Prefer at least 1 year of CDI experience, if no prior CDI experience, applicant will be educated to current standards
Additional Skills/Abilities:
- Medical/Surgical Nursing Experience
- Critical Care Nursing Experience
- Word and Excel experience preferred
- Time Management skills
- Self-Motivated
- Critical Thinking
