Clinical Documentation Specialist
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Job Description
Clinical Documentation Specialist for St. Charles Health System providing clinical record analysis and documentation support. Collaborating with healthcare providers to ensure accurate patient documentation and compliance.
Responsibilities:
- Provides clinical based review and analysis of the documentation in the patient’s medical record
- Collaborates with physician, mid-level providers, ancillary staff, and medical records coders
- Conducts initial and ongoing concurrent and some retrospective reviews for system wide admissions for all payors
- Identifies when there is a need to clarify documentation in patient records
- Supports Lean principles of continuous improvement
Requirements:
- Current Oregon RN License
- CCDS (Certified Clinical Documentation Specialist) or CDIP (Certified Documentation Improvement Practitioner)
- Minimum of two (2) years recent CDIS experience
- Proficient use of EPIC and 3M 360 Encompass software programs
Benefits:
- Comprehensive benefits including Medical, Dental, Vision for you and your immediate family
- 403b with up to 6% match on Retirement Contributions
- Generous Earned Time Off
- Growth Opportunities within Healthcare
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