What are the responsibilities and job description for the CLIN DOCUMENTATION SPEC RN position at Sentara?
Sentara Health is hiring Clinical Documentation Improvement Specialist (CDS)
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
Position Schedule: This is a Full-Time position, with day shift hours
Work Location: Sentara Leigh Hospital, Norfolk, Virginia
The Clinical Documentation Improvement Specialist (CDS) is a highly knowledgeable RN who is responsible for concurrent review of provider in-patient medical record documentation. Reviews include new admissions to the facility, as well as follow up reviews in subsequent days, until discharge. Responsible for facilitation of modifications to clinical documentation through concurrent interaction with providers, and other members of the healthcare team, to ensure that appropriate clinical severity of illness and risk of mortality is captured for the level of service rendered. The CDS is responsible for communicating to providers to ensure timely and accurate documentation and then utilizing specific software, to code the documentation utilizing ICD-10 codes. Additionally, the CDS provides education and training as needed with the medical staff. The CDS utilizes coding and clinical expertise to identify opportunities and ensure the accuracy and completeness of clinical documentation in the medical record used for measuring and reporting physician/provider hospital outcome.
Minimum Requirements:
- 5 years Acute Care experience in Medical/Surgical or ICU required.
- 3 or more years as a current Clinical Documentation Specialist required.
- Knowledge of ICD-10 CM & PCS, required
- CCDS or CDIP certification, preferred
Salary : $1,000 - $1,000,000
