Clinical Documentation Specialist

Type of Position:

Job Type:

Institution Name:

The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education research and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization focused on improving patient care and the lives of Arkansans.

UAMS offers amazing benefits and perks (available for benefits eligible positions only):

• Health: Medical Dental and Vision plans available for qualifying staff and family
• Holiday Vacation and Sick Leave
• Education discount for staff and dependents (undergraduate only)
• Retirement: Up to 10% matched contribution from UAMS
• Basic Life Insurance up to $50000
• Career Training and Educational Opportunities
• Merchant Discounts
• Concierge prescription delivery on the main campus when using UAMS pharmacy

Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position please click theApply link/button.

Persons must have proof of legal authority to work in the United States on the first day of employment.

All application information is subject to public disclosure under the Arkansas Freedom of Information Act.

Departments Website:

Summary of Job Duties:

Qualifications:

Minimum Qualifications:

• Registered Nurse (RN) with current license plus 4 years inpatient clinical experience in Emergency Critical Care or Medical/Surgical area with experience in Quality Case Management Clinical Audit or Data Abstraction OR Coding professional with CCS certification and 6 years of inpatient coding experience with documented education in anatomy/physiology and pharmacology.

Preferred Qualifications:

• Current CCDS.

Additional Information:

Applies extensive clinical knowledge to read and analyze health record documentation identifying all significant diagnoses treatment and procedures impacting acuity level and resources consumed throughout the current hospitalization; applies knowledge of disease processes surgical procedures UHDDS definitions and the CMS/NCHS ICD-10 Official Coding Guidelines for Coding and Reporting to assign non-indexed terms to the appropriate class within the ICD-10 coding classification system.
Reviews all death medical records and works with Vizient calculator to ensure risk of mortality and severity of illness scores are correct. Reviews all admission types to the hospital to ensure severity is captured.
Interacts directly with physicians nursing staff other patient caregivers coding staff and other members of the health care team to facilitate clarification of clinical documentation and transfer of knowledge related to accurate documentation coding and reimbursement practices; ensures that documentation is clear concise and written in diagnostic terms reflecting the highest level of specificity.
Develops and facilitates education related to clinical documentation improvement coding guidelines and regulatory requirements to all members of the healthcare team through one-on-one communication and classroom or large group presentations throughout the year as assigned.
Performs other duties as assigned.

Salary Information:

Required Documents to Apply:

Special Instructions to Applicants:

This position is subject to pre-employment screening (criminal background drug testing and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential non-discriminatory manner consistent with state and federal law.

Constant Physical Activity:

Frequent Physical Activity:

Occasional Physical Activity:

Benefits Eligible: