Clinical Documentation Spec


Job Details

Summary Best in Class Work Environment 5x Modern Healthcare Best Places to work America s Greatest Workplaces 2023 Newsweek Best Employers for New Grads 2023- Forbes Greatest Workplace for Women 2023 - Newsweek Benefits Robust, fully customizable benefits package including Medical/Vision/Dental and more! No cost eCare visits Employer-provided mental health services for employees and eligible family members Retirement with employer match up to 5% Tuition discounts and reimbursement available for continuing your education CoxHealth Fitness Center and Child Care discounts Job Summary This position is responsible for facilitating timely and accurate physician documentation in the medical record through concurrent chart review. Interdisciplinary communication and collaboration with physicians, nursing, and ancillary staff including Health Information Management coders is key to the success of this position. This position is also responsible for ongoing education of the patient care team regarding proper clinical documentation utilizing approved guidelines. Understand and utilization of ICD-10-CM and PCS coding assignment and follow Official Coding Guidelines. Job Requirements Education Required: Graduate of an approved nursing program Preferred: Bachelor's Degree in Nursing Experience Required: 3 year s acute care experience, 5 years preferred Preferred: Preferred experience in (ED, ICU, Neuro or Stepdown) Skills Ability to apply coding guidelines when reviewing documentation in the medical record. Ability to perform computer data entry. Ability to work with others and communicate effectively. Licensure/Certification/Registration Required: Registered Nursing License Preferred: CCDS or CDIP





 CoxHealth

 05/03/2024

 Springfield,MO