Clinical Documentation Specialist

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Lifepoint Health®

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1999

🏥 Healthcare

🧬 Biotechnology

💊 Pharmaceuticals

Healthcare • Biotechnology • Pharmaceuticals

Lifepoint Health® is a diversified healthcare delivery network that serves patients, clinicians, communities, and partners across the healthcare continuum. With a presence that extends from coast to coast, Lifepoint operates community hospitals, rehabilitation and behavioral health hospitals, and additional care sites. The company is dedicated to improving community health through high-quality care, patient safety, clinical excellence, and innovative partnerships aimed at enhancing healthcare quality and access.

📋 Description

• Conduct daily concurrent reviews of medical records to identify missing, vague, and/or incomplete diagnoses and procedures • Conduct timely follow-up reviews of clinical documentation to ensure discussed issues and issued queries have been answered by providers • Query physicians regarding specificity of procedures performed and diagnoses based on accepted coding guidelines, clinical expertise, and Lifepoint Health query policy • Participate in department and facility Quality and Performance initiatives • Maintain education records and meet minimum corporate CEU requirements • Maintain a clean workstation and follow safety regulations, Code of Conduct and ethics, customer service requirements, hospital training, and departmental staff meetings • Work with critical thinking, decisive judgment, and minimal supervision • Work effectively in a stressful environment and take appropriate action • Perform other duties as assigned

🎯 Requirements

• Bachelor's Degree in Nursing • Three years of clinical work experience required in an emergency room and/or ICU setting • Active RN license • Must be authorized to work in the United States without employer sponsorship • Critical thinking skills and decisive judgment • Ability to work with minimal supervision • Ability to work in a stressful environment and take appropriate action • Ability to follow accepted coding guidelines and Lifepoint Health query policy

🏖️ Benefits

• Flexible shifts: employee provides the manager with available days and start/end times • PRN opportunity to work 20–30 hours per week • Corporate continuing education unit (CEU) requirements • Hospital training • Departmental staff meetings