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(RN) Clinical Documentation Specialist - Helen Keller Hospital, Case Management, Full Time, 1st Shift

HH Health System
Full-time
On-site
Sheffield, Alabama, United States

Responsibilities

Responsibilities

Facilitates improvement in the overall quality and completeness of the medical record documentation. This includes a dedicated approach to concurrent record review in order to obtain documentation that accurately describes the patient�s severity of illness and risk of mortality. Clinical information will be utilized in profiling and reporting outcomes. On an ongoing basis,educates all members of the patient care team on documentation guidelines.

Qualifications

Qualifications

Clinical Candidate: Registered Nurse in the State of Alabama, BSN/MSN preferred. Coder Candidate: Certified coding specialist (CCS), RHIT or RHIA. Clinical Candidate: Minimum of five years experience in an acute care hospital required. Coder Candidate: Minimum of five years in inpatient Medicare coding.