RN, Registered Nurse- Clinical Documentation

Company: Christus Health
Location: Lake Charles
Posted on: January 23, 2023

Job Description:

Description
Summary:The Clinical Documentation Specialist is responsible for facilitation improvement in the overall quality and completeness of the medical record documentation. Obtains appropriate documentation through extensive interaction with physicians, nursing staff, other patient caregivers and health information management coding staff to ensure that reimbursement if received for the level of services rendered to the patients and that the clinical information utilized in profiling and reporting outcomes is complete and accurate.
Requirements:RN; BSN preferredBasic computer skills in word processing and spreadsheet utilization.Excellent written and verbal communication skills.Demonstrates basic knowledge regarding HIM coding standards.Analytic skills necessary to accurately assess patient medical records.Excellent interpersonal skills and ability to work on a team in order to influence physician documentation processes.Ability to be flexible and adjust to workload/assignment changes and interruptions.HealthStream(HLC) modules completed by assigned date. Attendrequired meetings of operational communication.Minimum of 5 years recent experience in an acute care setting in a clinical nursing field preferred.Prior experience in clinical documentation improvement, quality management, case management or coding preferred.Licensed as a Registered Nurse in the State of LouisianaCPR requiredWork Type:Per Diem As Needed Required

Keywords: Christus Health, Lake Charles , RN, Registered Nurse- Clinical Documentation, Other , Lake Charles, Louisiana