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Clinical Documentation Specialist Full Time

Company: Tenet
Location: Rock Hill
Posted on: November 9, 2019

Job Description:


Provide clinically basedconcurrent and retrospective review of inpatient medical records to evaluatethe documentation and utilization ofacute care services. Includesfacilitation of appropriate physician documentation of care to accuratelyreflect patient severity of illness and risk of mortality. Will play a significant role in obtainingaccurate and compliant reimbursement for acute care services and in reportingquality of care outcomes.


Qualifications:

Education/OtherQualifications:
MinimumEducation: Graduate of an accreditedschool of nursing, AHIMA accredited school, or international medical school.
MinimumExperience:
Minimum of 3 years clinical or inpatient coding experience in an acute care setting required; 5 years experience strongly preferred. Famililarity with coding concepts and coding software desired. Knowledge of care delivery documentation systems and related medical record documents. Knowledge of age-specific needs and the elements of disease processes and related procedures. Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes. Excellent written and verbal communication skills. Excellent critical thinking skills. Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, hospital management staff, and health information systems coding staff. Ability to work independently in a time-sensitive environment. Computer literacy and familiarity with the operation of basic office equipment. Assertive personality traits to facilitate ongoing physician communication. Ability to stand and walk for periods of time is required in the performance of job responsibilities.
Working knowledge of Medicare reimbursementsystem and coding structures/national coding guidelines. RequiredCertifications/Registrations/Licenses: Must possess a current RNor LPN license or an RHIA, RHIT, or CCS credential.
Job: Medical CodingPrimary Location: Rock Hill, South CarolinaFacility: Piedmont Medical CenterJob Type: Full-timeShift Type: Days

Keywords: Tenet, Rock Hill , Clinical Documentation Specialist Full Time, Healthcare , Rock Hill, South Carolina

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