Clinical Documentation Specialist - Nursing
About The Position
Avita Health System is proud to serve the communities of Crawford and Richland counties through three hospitals and numerous clinic locations. Over the past few years, we’ve tripled in size, now employing over 2,300 team members and more than 200 physicians and advanced practitioners. Our mission is to deliver high-quality, compassionate care to the people who depend on us. We’re currently seeking a dedicated Clinical Documentation Specialist to join our Medical Records Department at our Ontario location. Position Overview Accountable for facilitating improvement in overall quality and completeness of provider-based clinical documentation in the medical record. Works collaboratively with treating providers to ensure documentation in the medical record accurately reflects severity of illness as well as level of services rendered. Assesses documentation through extensive review of the record and interacts with physicians, case managers, and HIM coding staff to ensure appropriate reimbursement is received and clinical information utilized in profiling and reporting outcomes is accurate. Monitors program results and reports to Manager and Director.
Requirements
- Current RN Nursing License in the State of Ohio
- ICD10, CPT AND HCPCS coding knowledge.
- Knowledge of medical terminology, anatomy and physiology.
Nice To Haves
- Two years of experience as a CDI specialist in a hospital setting.
- CDI certification from an AHIMA- or ACDIS-approved program.
Responsibilities
- Accountable for facilitating improvement in overall quality and completeness of provider-based clinical documentation in the medical record.
- Works collaboratively with treating providers to ensure documentation in the medical record accurately reflects severity of illness as well as level of services rendered.
- Assesses documentation through extensive review of the record and interacts with physicians, case managers, and HIM coding staff to ensure appropriate reimbursement is received and clinical information utilized in profiling and reporting outcomes is accurate.
- Monitors program results and reports to Manager and Director.
Benefits
- A collaborative and engaged workplace culture
- Competitive wages and comprehensive benefits
- Generous paid time off (PTO) to support work-life balance
- Health, dental, and vision insurance options
- 403(b) retirement plans with up to 4% employer match
- Paid parental leave
- Pharmacy discounts for employees
- Free on-site parking
- Opportunities for professional growth and internal advancement
- Recognition programs, including the DAISY Nursing Award for excellence
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
501-1,000 employees
