Job Attributes

Work Schedule/Shift

Days

Job ID

5000393690206

Req. No

70029228

Job Title

RN, Clinical Doc Specalist - Clinical Documentation

Region

CHRISTUS Trinity Mother Frances

Category

Nursing & Nursing Support

Division

Not Defined

Company

CHRISTUS Health

Travel

None

Facility

TMFHS TYR Mother Frances Hosp-38000

Address

800 E. Dawson
Tyler, TX  75701
US

Type

Full Time

Apply Now RN, Clinical Doc Specalist - Clinical Documentation Job in Tyler

This position is responsible for performing concurrent review of clinical documentation in the medical record. Queries to the medical staff and other caregivers are necessary via written / verbal communication to obtain accurate and complete physician documentation that supports the severity of patient illness and risk of mortality. Perform thorough chart reviews to identify comorbidities / complications, and document these appropriately In the 3M 360 software application. Provides education to the physician and clinical staff. Captures all potential secondary diagnoses for profiling purposes.

  • Current license as an RN, Or a Midlevel Physician Assistant (PA) or Nurse Practitioner (NP)
  • RN 3-5 yrs experience
  • PA/NP 2+ yrs experience
  • 1-2 Years CDI experience required
  • Recent clinical experience in acute care setting.
  • Working knowledge of Medicare reimbursement and coding logic
  • Demonstrate proficiency in clinical documentation required for proper coding
  • Knowledge of medical record documents
  • 3M Coding software-working knowledge
  • 3M 360 CDIS software - proficiency
  • Literate in word processing and spreadsheets
  • Very good oral and written communication skills
  • Positive, professional demeanor
Apply Now
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