What are the responsibilities and job description for the Clinical Documentation Spec position at Maury Regional Health?
JOB TITLE: Clinical Documentation Specialist
DEPT: Care Management
LOCATION: MRMC-Columbia, TN
SHIFT: Remote Monday-Friday & On-Site PRN
JOB SUMMARY:
The Clinical Documentation Specialist (CDS) communicates with providers, case managers, coders, and other healthcare team members to facilitate comprehensive medical record documentation to reflect clinical treatment, decisions, and diagnoses for inpatients. The CDS utilizes the hospital's designated clinical documentation system to identify opportunities for physician and hospital outcomes, provides or coordinates education to all internal customers related to compliance, coding, and clinical documentation issues and acts as a consultant to coders when additional information or documentation is needed to assign the correct diagnosis related group (DRG). Responsible for the day-to-day evaluation of documentation by the medical staff and healthcare team and gathers and analyzes information pertinent to documentation findings and outcomes. Contributes to a positive working environment and performs other duties as assigned or directed to enhance the overall efforts of the organization.
JOB REQUIREMENTS:
RN-Tennessee- Required
5 Years-Clinical Nursing Experience Preferred
3 Years-Critical Care Nursing/Patient Care Preferred
CCS, RHIT, or RHIA-Tennessee- Preferred
Bachelor’s Nursing - Preferred
MAURY REGIONAL HEALTH:
At Maury Regional Health, we are committed to delivering a reimagined health care experience — one that puts our patients at the front and center as we strive to deliver clinical excellence and compassionate care for every patient, every day.
WHY MAURY:
- 2024 Best Place to Work & 2024 Best Place for Working Parents
- Medical, Dental, Vision, Retirement Plans & PTO
- Educational Assistance, Tuition Reimbursement & Career Advancement Navigation
- Employee Discounts
- Childcare Services – Hospitots
- Adoption Assistance
For more information: About Maury Regional Health
MISSION, VISION & VALUES:
MISSION: Clinical excellence. Compassionate care. Every patient. Every day.
VISION: To be the trusted choice for health and wellness in southern Middle Tennessee by delivering a safe, seamless and patient-centered experience.
VALUES:
W – Wholeness: Wellness-centered care of mind, body & spirit for our patients & health care team.
E – Empathy : Understanding the feelings of others as we walk with them on their path to wellness.
C – Community: Creating relationships, connections & trust.
A – Advocacy: Defending the rights of all to be heard.
R – Respect: Treating everyone with dignity & respect.
E – Equity: Providing each individual a fair opportunity to achieve their full potential.
STRATEGIC ANCHORS:
- Quality patient care
- Highly effective teams
- Stewardship of resources
- Innovative culture
Maury Regional Health is committed to the principles of Equal Employment Opportunity in all aspects of the employer/employee relationship. Maury Regional Health grants equal employment opportunities to all qualified persons without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), national origins (including ancestry), genetic information, disability, age, military/national guard/veteran status, sexual orientation, gender identity, or gender expression, or other status protected by state or federal law. Statements made by applicants for employment on this application form will be checked for accuracy. Maury Regional Health campuses are tobacco-free. All tobacco use is prohibited.
