Clinical Documentation Specialist Nurse (On-Site) Full Time

Job Description

Job Description

Description : Are you interested in building a career with other TOP PERFORMERS? Effingham Health System is committed to providing exceptional care and services in an environment that supports professional growth, diversity, and inclusion. Every team member's experience and work-life balance are a priority in our organization.EHS culture encourages and supports individuals in pursuing their career goals and well-being by providing work-life balance, flexible scheduling, career development, and all the benefits and perks you need for yourself and your family.

Benefits :

• Retirement plans 403 (b) and 457
• Health insurance
• Dental Insurance
• Vision insurance
• Prescription Drug Plan
• Hospital Discount
• Flexible spending account
• Paid time off
• Extended Days off (Sick time)
• Employee assistance program
• Strive365 Wellness Program
• Basic Life insurance (Employer Paid)
• Voluntary Life insurance / Accident / Critical Illness
• Disability (LTD and STD)
• Tuition reimbursement
• Legal and ID Shield
• Discounted Gym membership
• Cafeteria Payroll Deduction
• Employee Perks Program
• Student Loan Relief and Assistance
• Employee Rewards and Recognition Program
• Bereavement Leave

Please Note : This is an ON-SITE position.

JOB SUMMARY

Under the general direction of the Revenue Integrity Manager, the incumbent is responsible to review medical records documentation for reimbursement, severity of illness and risk of mortality, identifies opportunities for improving the quality of medical record documentation and confers with the caregiver regarding additional documentation required. Ensures adherence to Joint Commission standards, federal, state, and all related local policies, procedures. Validates that the clinical documentation supports the charges. Provide a quarterly report of charge validation and charge validation concerns. Coordinates and administers training for clinical personnel that promotes standards and best practices. validation management.

Standards of Performance

Requirements :

Minimum Level of Education : Education level equivalent to completion of Associate degree in registered Nursing; BSN preferred.

Formal Training : In-depth knowledge of medical terminology, coding, and procedures. Skills with experience in critical thinking, analytics, planning, organizing, implementing, facilitating, interviewing, and counseling. Self-motivated and able to work independently without close supervision. Strong communication skills (interpersonal, verbal and written).

Licensure, Certification, Registration : Valid Georgia Nursing License, RHIA, RN, LPN, CDIP, CCDS

Work Experience : Minimum Three (3) years nursing, case management, utilization review or quality resources experience in an acute care setting required; Clinical Documentation Integrity experience highly desirable

Computer Skills : Proficient with Microsoft Office applications (Outlook, Word, Excel, PowerPoint).