Clinical Documentation Specialist Remote

Essential Functions:

• Knows understands incorporates and demonstrates the Trinity Mission Vision and Values in behaviors practices standards policies procedures and decisions.
• Demonstrates understanding of appropriate clinical documentation to ensure the severity of illness risk of mortality quality indicators and level of services provided are accurately reflected in the health record.
• Communicates with and educates physicians and all other member of the healthcare team in clinical documentation and monitors provider engagement.
• Conducts concurrent reviews of selected patient health records to address legibility clarity completeness consistency and precision of clinical documentation.
• Formulates compliant clarifications/queries following Trinity Healths documentation integrity procedures.

Minimum Qualifications:

• Must possess an Associate/Diploma Degree in Health Information Technology (HIT) or Advanced degree in nursing (NP APN) or Physician absence of college degree must have three (3) years experience as an inpatient code or documentation specialist.
• Preferred Certifications: RN RHIA RHIT CCS CCDS or CDIP
• Experienced in critical care medical or surgical inpatient care nursing as an RN PA NP APN or inpatient coder preferred
• Excellent communication interpersonal collaboration and relationship building skills. Strong critical thinking skills and ability integrate knowledge. Prioritization and organizations skills required.
• Demonstrated ability to use standardized desktop and Windows based computer system. Data entry and typing skills at minimum 30 wph.

Our Commitment

Rooted in our Mission and Core Values we honor the dignity of every person and recognize the unique perspectives experiences and talents each colleague brings. By finding common ground and embracing our differences we grow stronger together and deliver more compassionate person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other status protected by federal state or local law.