Clinical Documentation Specialist, RN
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Job Location:
Beckley, WV - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Your experience matters
More about our team
At Raleigh General Hospitalpeople are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. We offer a wide range of surgical services as well as specialty programs including Cardiac CTA Digital Mammography and Trauma Services.
How youll contribute
A Clinical Documentation Specialist RN who excels in this role:
- Reviews inpatient medical records to identify missing vague or incomplete documentation and ensures timely resolution of provider queries.
- Ensures medical records accurately reflect clinical treatment decisions and diagnoses supporting hospital quality reporting and outcomes.
- Uses clinical and coding expertise to query physicians for specificity of procedures and diagnoses following hospital policy and accepted coding guidelines.
- Tracks and trends documentation opportunities using metrics to support process improvement initiatives.
- Provides guidance and education to physicians and clinical staff on best practices for clinical documentation and regulatory compliance.
- Collaborates with interdisciplinary teams to support quality initiatives improve workflow and enhance patient care outcomes.
Schedule: Full-Time Days
Why join us
We believe that investing in our employees is the first step to providing excellent patient addition to your base compensation this position also offers:
- Comprehensive Benefits:Multiple levels of medical dental and vision coverage for full-time andpart-time employees.
- Financial Protection & PTO:Life accident critical illness hospital indemnity insurance short- and long-term disability paid family leave and paid time off.
- Financial & Career Growth:Higher education and certification tuition assistance loan assistance and 401(k) retirement package and company match.
- Employee Well-being:Mental physical and financial wellness programs (free gym memberships virtual care appointments mental health services and discount programs).
- Professional Development:Ongoing learning and career advancement opportunities.
What were looking for
- Valid West Virginia RN license required.
- BCLS certification required.
- Associates degree in Nursing required.
- Bachelors degree in Nursing preferred.
- RHIA RHIT CCDS or CDIP certification preferred.
- Minimum of 23 years of clinical documentation improvement experience preferred.
- Strong knowledge of ICD-10 coding guidelines clinical documentation standards and hospital regulatory requirements including CMS and Joint Commission standards.
- Excellent communication and collaboration skills with the ability to work effectively with physicians case managers coders and other healthcare staff.
- Critical thinking problem-solving and organizational skills with the ability to manage multiple tasks in a fast-paced hospital environment.
More about Raleigh General Hospital
Raleigh General Hospitalcares for nearly 13000 patients each year and treats more than 50000 patients in its emergency room. We are accredited bythe Joint Commission the nationally recognized accrediting agency for healthcare facilities. Raleigh General Hospital also offers instructional programs for nursing students as well as numerous allied health student extern programs.
EEOC Statement
Raleigh General Hospitalis an Equal Opportunity Employer.Raleigh General Hospitalis committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.
Required Experience:
IC
Key Skills
About Company
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 a ... View more
