Clinical Documentation Specialist

🕒 June 23

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Logo of Tenet Healthcare

Tenet Healthcare

10,000+ employees

🏥 Healthcare

🧬 Biotechnology

🧘 Wellness

💰 $2G Post-IPO Debt on 2022-05

Healthcare • Biotechnology • Wellness

Tenet Healthcare is a leading healthcare services company that owns and operates hospitals, outpatient centers, and other healthcare facilities. With a focus on providing high-quality and accessible medical care to communities across the United States, Tenet Healthcare is committed to improving patient outcomes and enhancing the healthcare experience. They also offer innovative treatment options and invest in health technology to support their mission of delivering exceptional care.

📋 Description

• Reports to the Market Clinical Documentation Specialist Manager • Works collaboratively with medical, nursing and ancillary staff, case managers and coders • Improves accuracy, quality and completeness of clinical documentation • Performs initial and follow up reviews of selected patient accounts • Ensures accuracy and completeness of clinical information for quality services • Oversees clinical documentation patterns and trends • Educates members of the patient care team regarding clinical documentation needs • Develops and conducts education for new staff including case managers, coders, physicians, residents, nursing and allied health professionals • Compiles, analyzes, and evaluates quality and clinical data

🎯 Requirements

• Graduate from an accredited School of Nursing with RN or LPN, BSN • Graduate from an accredited School of Medicine with MD or MBBS (either foreign or domestic) • Minimum of 1-year experience working as a CDI in an acute care hospital • Graduate from an accredited Health Informatics program for clinical Documentation (preferred) • 1 – 2 -years’ experience or more working as a CDI in an acute care hospital (preferred) • 3 - years’ experience or more in a clinical setting with patient care (preferred) • Required certifications: Either RN, or LPN with an active license; Or MD, or MBBS • Preferred certifications: BSN; CDI related certificate (RHIA, RHIT, CCS, CDIP, CCDS); USMLE Certificate

🏖️ Benefits

• Medical, dental, vision, and life insurance • 401(k) retirement savings plan with employer match • Generous paid time off • Career development and continuing education opportunities • Health savings accounts, healthcare & dependent flexible spending accounts • Employee Assistance program, Employee discount program • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

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