Clinical Documentation Specialist

Posted 26 Days Ago
Be an Early Applicant
Nacogdoches, TX, USA
In-Office
Mid level
Healthtech • Biotech
The Role
Reviews inpatient Medicare records concurrently and retrospectively to assess utilization, clinical documentation, severity of illness, mortality risk, quality outcomes, and compliant reimbursement. Facilitates accurate physician documentation and supports acute-care documentation and reimbursement processes.
Summary Generated by Built In

The Clinical Documentation Specialist provides clinically based concurrent and retrospective review of inpatient Medicare medical records to evaluate the utilization and documentation of acute care services, which includes facilitation of appropriate physician documentation of care to accurately reflect patient severity of illness and risk of mortality. Plays a significant role in reporting quality of care outcomes and in obtaining accurate and compliant reimbursement for acute care services. 

Qualifications

Minimum Education: Must possess a current, valid RN license and relevant education. 
Minimum Experience: Three years clinical experience acute setting.
Required Licensure: Registered nurse, Licensed Masters Social Worker
FLSA Status: Exempt  
Salary Grade: 
Skills:  
** Note – Required certifications are to be completed by 3 months of employment.
 

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About Us

Embark on a rewarding career with Nacogdoches Medical Center hospital. If you are a compassionate healthcare professional eager to contribute to patient care, this is your opportunity where your skills make a difference every day. Join us in delivering exceptional healthcare with a personal touch.

At Nacogdoches Medical Center, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

  • Medical, dental, vision, and life insurance
  • 401(k) retirement savings plan with employer match
  • Generous paid time off
  • Career development and continuing education opportunities
  • Health savings accounts, healthcare & dependent flexible spending accounts
  • Employee Assistance program, Employee discount program
  • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status

About the Team

Nacogdoches Medical Center has been serving the East Texas community for nearly 50 yearswith a focus on caring for patients and a strong team environment. Service lines at the hospital include obstetrics and gynecology, cardiology (including a cath lab and electrophysiology capabilities), cancer care, neuroscience (Brainlab technology and stroke treatments) and weight loss surgery. Theseservices help the medical center provide treatment options close to home for patients. Join our team!

Skills Required

  • Current, valid Registered Nurse license
  • Relevant education
  • At least three years of clinical experience in an acute-care setting
  • Registered Nurse or Licensed Masters Social Worker licensure
  • Complete required certifications within three months of employment
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The Company
HQ: Dallas, Texas
43,105 Employees

What We Do

Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas. Our care delivery network includes United Surgical Partners International, the largest ambulatory platform in the country, which operates ambulatory surgery centers and surgical hospitals. We also operate a national portfolio of acute care and specialty hospitals, other outpatient facilities, a network of leading employed physicians and a global business center in Manila, Philippines. Our Conifer Health Solutions subsidiary provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers, and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve. For more information, please visit www.tenethealth.com.

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