Clinical Documentation Specialist, RN

🕒 August 24

⚜️ Louisiana – Remote

⚜️ Louisiana – Remote

⏱ Part Time

🟡 Mid-level

🟠 Senior

🏥📝 Medical Writer

👻 Ghost score 46%

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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/nursing knowledge to complications, comorbidities, SOI, ROM, case mix, CMS coding guidelines, DRG impact, HCC capture, ICD-10-CM accuracy and specificity, and medical necessity • 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), 3M software, and Encoder • Excellent written and verbal communication skills, critical thinking skills, 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 • Must possess good physical health • Ability to stand, sit, or walk for long periods of time • 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

• Part-time employment • Fully remote work arrangement

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