RN Clinical Documentation Specialist Lead

New
O
Ochsner HealthHealth Information Management
United StatesFull-TimeLead
Salary not disclosed
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Job Details

Experience
3 years clinical experience
Required Skills
Data entry

Requirements

  • Completion of a formal training program in Nursing.
  • Current State of Louisiana Registered Nurse License.
  • 3 years clinical experience in an acute care setting.
  • Documented experience in Clinical Documentation Improvement (CDI).
  • Advanced clinical expertise and knowledge of complex disease processes.
  • Proficiency with Windows-style applications and keyboard for data entry.
  • Strong organizational skills.
  • Effective verbal and written communication skills.
  • Ability to present information clearly and professionally.

Responsibilities

  • Serve as a liaison between the CDI Department customers and CDI Leadership.
  • Act as a clinical and technical resource for CDS staff, providing guidance and answering questions on non-administrative issues.
  • Observe, prioritize, and re-route daily department workflow according to Operational Standards.
  • Maintain responsibility for running operational reports and forwarding key metrics to leadership.
  • Facilitate special record reviews, projects, and other customer requests.
  • Perform medical record reviews during patient admission and throughout their stay to ensure documentation completeness and accuracy.
  • Provide consultation and education to departmental staff.
  • Support and participate in physician and hospital performance improvement initiatives.
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