Work Schedule/Shift
Varies
Job ID
5000554860906
Req. No
70045360
Job Title
*RN Clinical Documentation Specialist PRN
Region
CHRISTUS Santa Rosa
Category
Registered Nurse (RN)
Division
Not Defined
Company
CHRISTUS Health
Travel
None
Facility
CHRISTUS Santa Rosa Westover H-31600
Address
100 NE Loop 410
San Antonio, TX 78216
US
Type
PRN
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Apply Now *RN Clinical Documentation Specialist PRN Job in San Antonio
The clinical documentation specialist collaborates extensively with physicians, nursing staff, other patient caregivers and coding staff to improve the quality and completeness of documentation of care provided and coded for coordination, abstraction and submission of accurate data required by CMS. Facilitates concurrent modifications to clinical documentation to insure commensurate reimbursement of clinical severity and services rendered to patients with a DRG based payer (Medicare, Medicaid). Supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and facility outcomes. Communicates with and educates all clinical staff concerning accurate and effective clinical documentation.
A. Education/Skills
- ADN required; BSN preferred
- Basic computer skills in word processing and spreadsheet utilization.
- Excellent written and verbal communication skills.
- Proficient in computer use (desktop and/or laptop).
- Demonstrates basic knowledge regarding HIM coding standards.
- Analytic skills necessary to accurately assess patient medical records.
- Excellent interpersonal skills and ability to work on a team in order to influence physician documentation processes.
- Ability to be flexible and adjust to workload/assignment changes and interruptions.
- ** May be asked to travel to other CHRISTUS Facilities (Santa Rosa and Spohn Regions).
B. Expertise
- Minimum of 5 years recent experience in an acute care setting in a clinical nursing field required.
- Prior experience in clinical documentation improvement, utilization review/management, discharge planning, quality management, case management or coding preferred.
C. Licenses, Registrations, or Certifications
- Current license as a Registered Nurse in the State of Texas required
