Clinical Documentation Specialist, RN

🔥 16 hours ago

⚜️ Louisiana – Remote

⚜️ Louisiana – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥📝 Medical Writer

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St. Tammany Health System

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

St. Tammany Health System is a full-service acute care facility delivering world-class healthcare and the latest technology. It emphasizes wellness, prevention, and disease management, providing a range of services including emergency care, maternity, surgery, and diagnostic procedures. As a self-supporting not-for-profit community health system, it operates without tax funding, focusing on quality care and community health.

📋 Description

• Facilitate improved integrity of medical record documentation through interaction with healthcare providers • Support appropriate representation of severity of illness, risk of mortality, acuity, and complexity of care • Perform pre-visit and retrospective reviews of ambulatory clinical documentation • Ensure accurate depiction of patient complexity to support the facility’s Risk Adjustment strategy • Apply clinical and nursing knowledge, CMS coding guidelines, DRG principles, HCC documentation requirements, ICD-10-CM accuracy and specificity, and medical necessity standards • Collaborate with physicians and advanced practice providers • Communicate documentation opportunities • Educate patient care team members regarding documentation guidelines, coding requirements, and service-line-specific requirements

🎯 Requirements

• Graduate of an accredited School of Nursing • Current Louisiana Registered Nurse License required • Five (5) years of clinical experience in an acute or ambulatory care setting • Knowledge of ICD-10 coding principles and guidelines and Risk Adjustment Coding • Proficiency in Microsoft Office applications (PowerPoint, Excel, Word) • Experience with 3M software and Encoder • Excellent written and verbal communication skills • Critical thinking and interpersonal skills • Knowledge of complex disease processes with broad clinical experience in an outpatient setting • Ability to work independently with minimal supervision and be self-motivated • Proficient organizational and planning skills • Good physical health • Ability to stand, sit, or walk for long periods • Ability to lift at least 20 pounds • Ability to work with a moderate level of noise • Preferred: Bachelor of Science degree in Nursing • Preferred: Experience with Medicare risk adjustment, Hierarchical Condition Categories, coding, billing, and auditing • Preferred: Current Certified Clinical Documentation Specialist (CCDS) through ACDIS

🏖️ Benefits

• Fully remote work arrangement • Attractive compensation package • Full-time schedule, 40 hours per week • Monday–Friday work schedule • Employee assistance with mission, vision, and values expectations • Equal employment opportunity