Singing River Health System · 3 weeks ago
Clinical Documentation Specialist
Singing River Health System is committed to improving healthcare quality, and they are seeking a Clinical Documentation Specialist to enhance clinical documentation quality and completeness. The role involves interacting with healthcare professionals to ensure accurate documentation and compliance with regulations while educating staff on proper documentation practices.
Health CareHospitalMedicalNon ProfitSports
Responsibilities
Improves the overall quality and completeness of clinical documentation
Facilitates modifications to clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, and coding staff
Analyzes the clinical status of patients, current treatment plans and past medical history to identify potential gaps in clinical documentation
Educates and serves as a clinical liaison to nursing staff and other clinicians on compliant documentation and accurate coding
Reconciles DRG differences between the Coding staff and Clinical Documentation Specialist
Monitors activities to ensure that all clinical documentation is in compliance with State and Federal payer regulations
Qualification
Required
High School graduate or equivalent required
If Registered Nurse, must be a graduate from NLN School of Nursing; Bachelor of Science in Nursing required
If Registered Nurse (RN), must hold current applicable license to practice in Mississippi
Must complete all requirements (including continuing education) to maintain certification
A Registered Nurse must have a minimum of two (2) years' nursing experience in an acute-care facility
Coders must have a minimum of two (2) years' experience in ICD-9 CM and experience utilizing ICD-10 CM and ICD-10 PCS in an inpatient setting
Must have working knowledge of the AHA Coding Clinic
An understanding of the MS-DRG payment system is required
Must have de-escalation training completed by the end of position orientation (90 days); must have appropriate level of de-escalation training
Must demonstrate keen mental faculties/assessment and decision making abilities
Must demonstrate superior communication/speaking/enunciation skills to receive and give information in person and by telephone
Must demonstrate strong written and verbal communication skills
Must possess emotional stability conducive to dealing with high stress levels
Must demonstrate ability to work under pressure and meet deadlines
Attention to detail and the ability to multi-task in complex situations is required
Must have the ability to maintain collaborative and respectable working relationships throughout SRHS and other organizations
Must possess superior customer service skills and professional etiquette
Must possess proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e., telephone, fax, etc.), MS Outlook and Word
Job requires traveling throughout the SRHS service area – with the employee providing his/her own transportation
Work requires the ability to function independently, adapt to workload demands, set priorities, and understand and set goals
Must possess highly developed organizational, planning and management writing skills
Must understand the fundamentals of automated data processing, and be able to quickly gain a detailed understanding of complex computerized and non-computerized information
Preferred
Current Mississippi RN license preferred
CCDS preferred
An understanding of APR-DRG's preferred
Company
Singing River Health System
Singing River offers award-winning, comprehensive care for every age and stage.
H1B Sponsorship
Singing River Health System has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
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Trends of Total Sponsorships
2025 (2)
2024 (4)
2023 (3)
2022 (3)
2021 (4)
2020 (1)
Funding
Current Stage
Late StageCompany data provided by crunchbase