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Clinical Document Specialist

Clinical Documentation Improvement

 

Address   Franciscan Alliance
    5454 Hohman Ave.
    Hammond, IN 46320

Hours  Days

Calendar  Full-Time

Education Bachelor's Required

WHAT WE NEED

Specialized communicators

WHO WE ARE LOOKING FOR

Clinical documentation sounds a little dry, boring and, frankly, clinical doesn’t it? We can assure you it’s none of those things. In today’s health care world, medical record documentation is a critical component of patient care. The clinical documentation specialist must work with physicians and coding staff to accurately and thoroughly document care. The specialist must also be able to communicate relevant medical knowledge to staff. It’s a job that requires someone with top notch written and verbal communication skills.

Are you a strong communicator? Do you have experience with medical documentation? Are you able to juggle daily tasks that include writing, working with a team, ensuring compliance and evaluating records? If so, we need your skills. 

WHAT YOU WILL DO
  • Communicate with physicians to ensure accurate and complete documentation are in medical records.
  • Communicate with physicians, case managers, coders, and other healthcare team members to facilitate comprehensive medical record documentation ensuring they reflect clinical treatment, decisions, and diagnoses for inpatients.
  • Demonstrate an understanding of complications, co-morbidities, the severity of illness, the risk of mortality, case mix, secondary diagnosis, and the impact of procedures on the final DRG; possess the ability to impart this knowledge to physicians and other members of the healthcare team.
  • Identify patterns, trends, variances, and opportunities to improve the documentation review and process.
  • Participate in departmental and hospital committees and assigned Task Force groups.
  • Provide or coordinate education to all internal customers related to compliance, coding, and clinical documentation issues.
  • Seek out educational resources to enhance clinical and coding knowledge, takes advantage of learning opportunities.
WHAT IT TAKES TO SUCCEED
  • Prior Acute Care experience.  
  • Proficient in knowledge of disease processes and treatment, pharmaceuticals, labs, radiology, Cardiology, etc.
  • Manage conflict and tactfully handle complaints and difficult situations.
  • Manipulate data and develop reports.
  • Work independently with minimal supervision.
  • Critically evaluate and analyze information in written materials.
  • Solve problems by analyzing information and using logic to address issues and problems.
  • Conduct research and present findings.
  • Effectively communicate verbally and in writing as appropriate for the needs of the audience.


 

WHAT WE'RE LOOKING FOR
 

 

7 Years Acute Care Experience with Minimum 2 Years Recent Inpatient Experience

License(s): Registered Nurse

Certification(s):


 

EQUAL OPPORTUNITY EMPLOYER

It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.

Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.

Franciscan Alliance is committed to equal employment opportunity.


Nearest Major Market: Gary
Nearest Secondary Market: Chicago