Community Health Systems Clinical Docmt Specialist (RN) in Clarksville, Tennessee

Description:

The Clinical Documentation Specialist (CDS) facilitates improvement in the overall quality, completeness and accuracy of medical record coding and documentation. The (CDS) reviews inpatient medical records concurrently, while the patient is still in-house, facilitating appropriate physician documentation for any clinical conditions or procedures to support appropriate MS-DRG assignment, severity of illness, expected risk of mortality, core measures, and complexity of care of the patient. Obtains and promotes appropriate clinical documentation through interaction with the HIM department, physicians, nursing staff and other clinical providers of care. This includes review of all new admissions to the acute care facility, as well as re-reviews until the patient is discharged. The CDS communicates with HIM, clinicians and physicians to ensure timely and accurate documentation and provides training and education as required.

Qualifications

Education / License / Certification:

  • Licensed as a Registered Nurse in the state of Tennessee or compact state in good standing

Experience / Skills:

  • Two (2) years acute care nursing experience (e.g. medical-surgical, ICU, case management, etc)

  • Sufficient knowledge of clinical documentation requirements, DRG assignment, ICD-9-CM diagnosis and procedure coding and clinical conditions or procedures

  • Attention to detail and concentration

  • Ability to work in fast-paced, ever-changing environment

Job: Health Information Management Services

Organization: Tennova Health Care - Clarksville

Location: TN-Clarksville

Requisition ID: 1680501