2 Clinical Documentation Specialist (RN) Jobs in Hendersonville, NC
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UNC Health is Hiring a Clinical Documentation Specialist (RN) Near Hendersonville, NC
Description
Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.
Summary:
The Clinical Documentation Specialist (RN) utilizes nursing expertise to ensure maximum reimbursement for services rendered in an inpatient hospital organization. By pursuing accurate inpatient coding and Diagnosis-Related Group (DRG) assignments through auditing and analysis, the CDS RN Specialist ensures optimal payer reimbursements.
- Collaborates with Care Coordinators in Clinical Care Management to review inpatient records for accurate diagnosis and procedural coding. Ensures correct provisional (while patient is hospitalized) and final (patient discharge) Diagnosis-Related Group (DRG) coding assignment.
- Identifies cases for Physician Advisor intervention. Coordinates Physician Advisor reviews and collects review statistics, ensuring compliance with departmental and regulatory agency guidelines.
- Communicates with physicians, care managers, coders, and other healthcare team members to facilitate comprehensive medical record documentation to reflect clinical treatment, decisions, and diagnoses for inpatients.
- Develops physician education strategies to promote complete and accurate clinical documentation and correct negative trends. Demonstration of knowledge of DRG payer issues, documentation opportunities and coding guidelines.
- Monitors and analyzes effectiveness of changes in coding and DRG assignments in terms of reimbursement outcomes. Identifies which coding/DRG assignments could benefit from physician advisor reviews.
Qualifications
Required
- Must be licensed to practice as a Registered Nurse in the state of North Carolina or one of compact states.
- Two (2) years of experience working as a registered nurse (RN) in an acute care setting
- Strong verbal and written communication
- Basic Life Support (BLS) certification
- Certification as a Clinical Documentation Integrity Practitioner (CDIP) as issued by American Health Information Management Association (AHIMA)
- Experience working in a care management capacity
- Certification in Care Management
Job Details
Legal Employer: Pardee - HCHC
Entity: Pardee UNC Health Care
Organization Unit: Health Information Management
Work Type: Full Time
Standard Hours Per Week: 40.00
Work Assignment Type: Remote
Work Schedule: Day Job
Location of Job: PARDEEHOSP
Exempt From Overtime: Exempt: No
Job Summary
Full Time
Hospital
$63k-79k (estimate)
03/07/2024
05/06/2024
www.unchealthcare.org
Morrisville, North Carolina
15,000 - 50,000
Tom Murray
<$5M
Hospital
Related Companies
About UNC Health
The UNC Health Care System is a not-for-profit integrated health care system, founded in 1998, owned by the State of North Carolina and based in Chapel Hill. It exists to further the teaching mission of the University of North Carolina and to provide state-of-the-art patient care. A distinguishing characteristic of UNC Health Care is its association with the UNC-Chapel Hill School of Medicine, a nationally eminent research institution. This relationship gives UNC Health Care a powerful pathway for moving the results of biomedical research from medical school laboratories to patient care settin...gs. UNC Health Care has been granted broad powers by the North Carolina General Assembly to assure its management flexibility and competitiveness in a rapidly changing health care business environment. The enterprise is governed by a board of directors appointed by the University of North Carolina.
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The job skills required for Clinical Documentation Specialist (RN) include Health Information Management, Health Care, Acute Care, Clinical Documentation, Analysis, Written Communication, etc. Having related job skills and expertise will give you an advantage when applying to be a Clinical Documentation Specialist (RN). That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Clinical Documentation Specialist (RN). Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Clinical Documentation Specialist (RN) positions, which can be used as a reference in future career path planning. As a Clinical Documentation Specialist (RN), it can be promoted into senior positions as a Tumor Registrar that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Clinical Documentation Specialist (RN). You can explore the career advancement for a Clinical Documentation Specialist (RN) below and select your interested title to get hiring information.
If you are interested in becoming a Clinical Documentation Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Clinical Documentation Specialist for your reference.
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Quotes from people on Clinical Documentation Specialist job description and responsibilities
Finally, a good clinical documentation specialist must be able to maintain patient confidentiality.
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Clinical Documentation Specialist analyzing medical information to assist healthcare providers.
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A clinical documentation specialist, also called a medical coder or billing specialist, oversees all types of health care documents.
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At the same time, clinical documentation excellence programs should advance the quality, accuracy, and completeness of clinical documentation.
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Clinical Documentation Specialist that are structured to be effective and efficient can provide the solutions needed to achieve accurate clinical documentation that contributes to precise health care data that’s required for value-based payment methodolo
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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Clinical Documentation Specialist jobs
Ensuring that there us proper documentation where needed
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Always strive for point-of-service documentation.
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Clinical documentation specialists gather and process these documents.
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Documentation specialists work with hospitals and alongside healthcare providers.
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Set up documentation shortcuts.
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Step 3: View the best colleges and universities for Clinical Documentation Specialist.
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