Clinical Documentation Specialist – Level 3
Job Description: • Provides clinical based review and analysis of the documentation in the patient’s medical record • Supports accurate capture of patient’s complexity and severity of illness • Utilizes queries of medical staff and other caregivers to clarify and support completeness of documentation • Collaborates with physician, mid-level providers, and medical records coders to identify principal and secondary diagnoses • Conducts initial and ongoing concurrent and some retrospective reviews for system wide admissions • Initiates tracking process and documents findings on EHR tracking system • Communicates with providers to capture accurate documentation of patient’s severity of illness Requirements: • Minimum of five (5) years recent CDIS experience • Proficient use of EPIC and 3M 360 Encompass software programs • Current Oregon RN License • CCDS (Certified Clinical Documentation Specialist) or CDIP (Certified Documentation Improvement Practitioner) • As required by licensure for RN. Benefits: • Competitive Salary • Comprehensive benefits including Medical, Dental, Vision for you and your immediate family • 403b with up to 6% match on Retirement Contributions • Generous Earned Time Off • Growth Opportunities within Healthcare
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