Clinical Documentation Specialist

🕒 September 18

🌾 Iowa – Remote

🌾 Iowa – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥📝 Medical Writer

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👻 Ghost score 43%

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Trinity Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

📚 Education

🤝 Non-profit

Healthcare • Education • Non-profit

Trinity Health is a Christian K-12 educational institution located in Wichita, Kansas, dedicated to providing a Christ-centered education that nurtures spiritual growth and academic excellence. The academy emphasizes the importance of faith in students' lives, integrating spiritual development with rigorous academic programs and a broad array of extracurricular activities, including athletics and fine arts. Trinity Health fosters a supportive community where teachers and families collaborate to help students develop a personal relationship with Jesus Christ and excel in their studies.

📋 Description

• Utilize clinical and coding expertise to support the integrity of clinical documentation as reviewer, educator and consultant • Facilitate the quality, completeness and accuracy of medical record documentation through extensive record review • Ensure clinical documentation accurately reflects severity of illness, risk of mortality, quality indicators and level of services provided • Communicate with and educate physicians and other healthcare team members on clinical documentation • Monitor provider engagement • Conduct concurrent reviews of selected patient health records for legibility, clarity, completeness, consistency and precision • Formulate compliant clarifications/queries following Trinity Health's documentation integrity procedures • Demonstrate and incorporate Trinity Mission, Vision and Values in behaviors, practices, standards, policies, procedures and decisions

🎯 Requirements

• Associate/Diploma Degree in Health Information Technology (HIT), or advanced degree in nursing (NP, APN), or Physician Assistant • In absence of college degree, three (3) years' experience as an inpatient code or documentation specialist • Preferred certifications: RN, RHIA, RHIT, CCS, CCDS or CDIP • Experience in critical care, medical or surgical inpatient care nursing as an RN, PA, NP, APN or inpatient coder preferred • Excellent communication, interpersonal, collaboration and relationship building skills • Strong critical thinking skills and ability to integrate knowledge • Prioritization and organization skills required • Ability to use standardized desktop and Windows-based computer systems • Data entry and typing skills of at least 30 wpm

🏖️ Benefits

• Full-time remote position • Day shift • Equal Opportunity Employer

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