Clinical Documentation Specialist - RN
New
S
St. Tammany Health SystemHealthcare
United States, 8:00 AM - 4:30 PM (MON - FRI)Part-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- Five (5) years of clinical experience
- Required Skills
- Microsoft Office
Requirements
- Graduate of an accredited School of Nursing.
- Current Louisiana Registered Nurse License.
- Five years of clinical experience in an acute or ambulatory care setting.
- Knowledge of ICD-10 coding principles and guidelines.
- Knowledge of Risk Adjustment Coding.
- Proficiency in Microsoft Office applications (PowerPoint, Excel, Word).
- Experience with 3M software and Encoder.
- Knowledge of complex disease processes.
- Excellent written and verbal communication, critical thinking, and interpersonal skills.
- Bachelor of Science degree in Nursing (preferred).
- Experience with Medicare risk adjustment, HCC, coding, billing, and auditing (preferred).
- Certified Clinical Documentation Specialist (CCDS) through ACDIS (preferred).
Responsibilities
- Facilitate the improved integrity of medical record documentation through interaction with healthcare providers.
- Support the appropriate representation of severity of illness, risk of mortality, acuity, and complexity of care.
- Perform pre-visit and retrospective reviews of ambulatory clinical documentation.
- Ensure accurate depiction of patient complexity to support the facility's Risk Adjustment strategy.
- Collaborate with physicians and advanced practice providers to communicate documentation and coding opportunities.
- Educate the patient care team regarding documentation guidelines, coding requirements, and service-line specific requirements.
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