Norton Healthcare
Published
October 19, 2021
Location
Louisville, Kentucky
Category
Other  
Job Type
Work Setting
In-office

Description

The Clinical Documentation Improvement Specialist is a professional nurse accountable for the documentation management of a group of patients. The clinical documentation specialist focuses on safe effective patient care, customer satisfaction, and quality outcomes. They are responsible for assisting in maintaining a financially stable department, promoting their own development with an emphasis on evidence-based practice and education supported by a Practice Governance framework. Upon admission and concurrently throughout the inpatient stay, the clinical documentation specialist reviews the medical record for documentation that is ambiguous or nonspecific. The clinical documentation specialist proactively engages the physician in discussion to clarify documentation to ensure the inpatient medical record accurately reflects the patient's severity of illness and the intensity of services provided. The clinical documentation specialist collaborates in the application of Core Measures to manage the care of targeted diagnoses within the system's primary service lines.

Qualifications

Required:

  • Three years in critical care or medical-surgical hospital setting
  • Bachelor’s Degree If the education requirement of BSN is met, then RN is required. If the education requirement of a Medical Degree is met, then RN is not required.
  • Registered Nurse (KY) - If the education requirement of BSN is met, then the Registered Nurse (RN) credential is required. If the education requirement of a Medical Degree is met, then a Registered Nurse (RN) credential is not required.

Desired:

  • One year in case management and/or clinical documentation management.
  • Bachelor Degree Nursing
  • Doctorate Degree Medicine
  • Certified Clinical Documentation Specialist

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Screening requirements:

  • Background check
  • License & education verification
  • Employment reference verification

Norton Healthcare offers a competitive benefits package, including:

  • Paid vacation, sick days, and holidays
  • Paid parental leave
  • 403b/401k retirement plan
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