RN Clinical Documentation Specialist
Day Shift (Hours: M-F 8 hours) Hybrid / No Weekends or Holidays!
Newark, DE
Christiana Care Hospital is hiring a RN Clinical Documentation Specialist for improving the overall quality and completeness of clinical documentation within the inpatient medical record. This is a hybrid position with remote and onsite requirements.
The RN Clinical Documentation Specialist will facilitate modifications to clinical documentation through extensive concurrent interaction with physicians and the coding staff to support that the appropriate reimbursement and clinical severity are captured compliantly for the level of service rendered to all patients with DRG-based payer. Supports timely, accurate, and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes. Educates members of the patient care team on documentation guidelines on an ongoing basis. Serves as a clinical resource for the HIM coding department.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
EDUCATION AND EXPERIENCE REQUIREMENTS:
KNOWLEDGE, SKILL, AND ABILITY REQUIREMENTS:
PHYSICAL DEMANDS:
Prolonged daily review of charts on computer screen
WORKING CONDITIONS:
Nursing Unit Environment – no patient contact
Normal Office Environment.
Frequent deadline situations
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