Clinical Documentation Improvement Specialist, Days
Company: Norton Healthcare
Posted on: November 26, 2022
The Clinical Documentation Improvement Specialist is a professional
nurse accountable for the documentation management of a group of
patients. The clinical documentation specialist focuses on safe
effective patient care, customer satisfaction and quality outcomes.
They are responsible for assisting in maintaining a financially
stable department, promoting their own development with an emphasis
on evidence based practice and education supported by a Practice
Governance framework. Upon admission and concurrently throughout
the inpatient stay, the clinical documentation specialist reviews
the medical record for documentation that is ambiguous or
nonspecific. The clinical documentation specialist proactively
engages the physician in discussion to clarify documentation to
ensure the inpatient medical record accurately reflects the
patient's severity of illness and the intensity of services
provided. The clinical documentation specialist collaborates in the
application of Core Measures to manage the care of targeted
diagnoses within the system's primary service lines.
- Three years in a critical care or medical surgical hospital
- Bachelor Degree If education requirement of BSN met, then RN is
required. If education requirement of Medical Degree is met, then
RN is not required.
- Registered Nurse (KY) - If education requirement of BSN met,
then Registered Nurse (RN) credential is required. If education
requirement of Medical Degree is met, then Registered Nurse (RN)
credential is not required.
- One year in case management and/or clinical documentation
- Bachelor Degree Nursing
- Doctorate Degree Medicine
- Certified Clinical Documentation Specialist
Keywords: Norton Healthcare, Louisville , Clinical Documentation Improvement Specialist, Days, Other , Louisville, Kentucky
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