Facility Clinical Documentation Improvement Specialist
Baptist Health
Facility Clinical Documentation Improvement Specialist
Baptist Health
Full-spectrum health system with hospitals
Summary
Job Description:
Baptist Health is looking for a Clinical Documentation Specialist to join our team. This is a remote position that requires residence in either KY or IN
The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients’ severity of illness is accurately portrayed in the medical record for specificity of coding and increased coding accuracy. They provide guidance to the physicians, nursing and ancillary staff on clinical documentation best practices. They must be self-motivated and be adaptive to change.
Requirements
· Register Nurse with active Kentucky license
· Bachelor’s degree preferred and 3 years acute health care nursing (including 1 year experience in clinical documentation), OR Associate’s degree in Nursing with 5 years acute health care nursing . (Register Nurse with active Kentucky license)
· ACDIS Credential (CCDS) or Certified Documentation Improvement Professions (CDIP) strongly encouraged
· Knowledge of medical record organization
· Knowledge of medical terminology
· Ability to complete assignments in a timely manner despite fluctuations in workflow
· Strong interpersonal, communication and listening skills is required
· Knowledge of e-mail, Word, Excel, data entry and data retrieval systems, Encoder and internet
Full-spectrum health system with hospitals
Baptist Health is a regional health system with nine hospitals and more than 400 care sites across Kentucky and Indiana, offering inpatient services, outpatient clinics, home health, urgent care, diagnostic and surgery centers, and therapies. It combines employed physicians in Baptist Health Medical Group with a large network of independent clinicians to deliver comprehensive care across the continuum, including hospital care, primary care, specialty practices, and wellness services. Its hospitals hold Magnet or Pathway to Excellence nursing designations, reflecting a focus on nursing quality, and the system aims to provide accessible, high-quality health care to communities through a broad, integrated network. The goal is to improve community health by delivering coordinated, patient-centered care across a wide geographic footprint.
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