Unlock New Opportunities

Upload Your Resume and Get Discovered by Leading Employers

Create a Free Account

(RN) Clinical Document Specialist/ Full-Time

CHRISTUS Health • Full-time • Santa Fe, NM, United States • 15h ago

Description

POSITION SUMMARY: The clinical documentation specialist collaborates extensively with physicians, nursing staff, other patient caregivers and coding staff to improve the quality and completeness of documentation of care provided and coded for coordination, abstraction, and submission of accurate data required by CMS. Facilitates concurrent modifications to clinical documentation to insure commensurate reimbursement of clinical severity and services rendered to patients with a DRG based payer (Medicare, Medicaid). Supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and facility outcomes. Communicates with and educates all clinical staff concerning accurate and effective clinical documentation.

Requirements

MINIMUM QUALIFICATIONS:

EDUCATION: RN; Graduate of accredited school of nursing. BSN preferred.

CERTIFICATION/LICENSES: Licensed as a Registered Nurse in the State of New Mexico.

SKILLS:

Basic computer skills in word processing and spreadsheet utilization.
Excellent written and verbal communication skills.
Proficient in computer use (desktop and/or laptop).
Demonstrates basic knowledge regarding HIM coding standards.
Analytic skills necessary to accurately assess patient medical records.
Excellent interpersonal skills and ability to work on a team in order to influence physician documentation processes.
Ability to be flexible and adjust to workload/assignment changes and interruptions.

EXPERIENCE: Minimum of 5 years recent experience in an acute care setting in a clinical nursing field required. Prior experience in clinical documentation improvement, utilization review/management, discharge planning, quality management, case management or coding preferred.

NATURE OF SUPERVISION:

-Responsible to: Director of Case Management Services

ENVIRONMENT: Bloodborne pathogen: A

General office environment and general hospital department/nursing units.

PHYSICAL REQUIREMENTS: Ability to walk and stand 80% of work time.

Related Jobs

Psychiatrist

Talkiatry • Full-time • Santa Fe, NM, United States • 15h ago

Healthcare & Pharmaceutical Retirement Plan 401k Match Paid Time Off

Talkiatry is led clinically by Dr. Georgia Gaveras, a board-certified child, adolescent and adult psychiatrist with an additional board-certification in addiction medicine. At Talkiatry, that means our psychiatrists are...

15h ago

Apply

Travel Certified Cardiac Cath Lab Technologist - $2,804 per week

Stability Healthcare • Travel • Santa Fe, NM, United States • 1w ago

Healthcare & Pharmaceutical Travel Healthcare Paid Time Off

Stability Healthcare is seeking a travel Cath Lab Technologist for a travel job in Santa Fe, New Mexico. Job Description & Requirements Specialty: Cath Lab Technologist Discipline: Allied Health Professional Duration...

1w ago

Apply

Travel Certified Cardiac Cath Lab Technologist - $2,683 per week

Aequor Allied • Travel • Santa Fe, NM, United States • 6h ago

Healthcare & Pharmaceutical Travel Healthcare

Aequor Allied is seeking a travel Cath Lab Technologist for a travel job in Santa Fe, New Mexico. Job Description & Requirements Specialty: Cath Lab Technologist Discipline: Allied Health Professional Start Date: 09/...

6h ago

Apply

Occupational Therapist

Presbyterian Healthcare Services • Santa Fe, NM, United States • 15h ago

Healthcare & Pharmaceutical

Overview: As an Outpatient Occupational Therapist , you'll work with patients regarding the application of a wide variety of therapeutic interventions for rehabilitation of physical and developmental disorders. Are you p...

15h ago

Apply

RN - Hospice

Presbyterian Healthcare Services • Santa Fe, NM, United States • 15h ago

Healthcare & Pharmaceutical

Overview: Presbyterian is seeking a Hospice RN . know their field is a specialty, philosophy, and a passion. Our hospice RN’s build relationships with patients and their families while providing competent and compassiona...

15h ago

Apply