Clinical Documentation Specialist

Hospital

Unit Description: The Clinical Documentation Specialist (CDS) has a broad clinical knowledge base and understanding of DRG documentation requirements. The primary purpose of the CDS is to facilitate the improvement in the overall quality, completeness and compliance of clinical documentation in the medical record. The CDS faciliates clarification of clinical documentation through extensive medical record review, interaction with physicians, nursing staff and other caregivers utilizing coding and clinical documentation expertise. The CDS will manage a concurrent query process to accurately capture the appropriate documentation. The CDS is also responsible for educating all members of the patient care team on appropriate documentation to support the use of hospital resources and the acuity of patients served.

Education: Four years of formal training or education in specialty or related specialty beyond the high school level (e.g., Bachelors Degree). Certified Coding Specialist (CCS) required and Professional Registered Nurse (RN).

Experience: 4 years experience in field. Demonstrated ability to effectively manage program operations.

The salary is based on experience.
Full benefits including; Health, Dental, Pension Plan, Paid time off, Tuition Reimbursement, Free on site fitness center.


 On Call requirements: No Call

Weekend requirements: No Weekends 

Certification requirements:CCS - Certified Coding Specialist  

Assignment Duration: Perm

Number of Positions Available: 1

Shift: Monday - Friday - Days - Full time

State License: NH