Clinical Documentation Specialist RN

Welcome to Providence St. Patrick Hospital, where we are dedicated to providing exceptional care to our patients and the community. We are currently seeking a Clinical Documentation Specialist RN to join our team. As a vital member of our healthcare team, you will play a crucial role in ensuring the accuracy and completeness of our patients' medical records. Our ideal candidate is a highly organized and detail-oriented registered nurse with a strong clinical background. If you are passionate about promoting quality patient care and have a keen eye for detail, we encourage you to apply for this rewarding opportunity.

1. Review and analyze patient medical records to ensure accuracy and completeness.
2. Collaborate with healthcare providers to obtain necessary documentation and clarify any discrepancies.
3. Identify and report any documentation deficiencies or errors to the appropriate parties.
4. Educate healthcare team on proper documentation practices and regulations.
5. Stay up-to-date on industry regulations and guidelines related to clinical documentation.
6. Work closely with coding and billing teams to ensure appropriate documentation for accurate coding and reimbursement.
7. Participate in quality improvement initiatives to enhance documentation and patient care.
8. Maintain patient confidentiality and adhere to HIPAA regulations.
9. Utilize electronic health record systems to document and track patient information.
10. Serve as a resource for healthcare team members on documentation related matters.
11. Communicate effectively with patients and their families to obtain necessary information for medical records.
12. Adhere to hospital policies and procedures regarding clinical documentation.
13. Attend departmental meetings and training sessions as required.
14. Provide exceptional customer service to patients, families, and team members.
15. Contribute to a positive and collaborative work environment.
16. Adhere to ethical and professional standards of nursing practice.

According to JobzMall, the average salary range for a Clinical Documentation Specialist RN in Texas, USA is $65,000 - $90,000 per year. This may vary based on factors such as experience, location, and employer. Some Clinical Documentation Specialist RNs may also receive additional benefits such as health insurance, retirement plans, and bonuses.

Providence Health & Services in Montana is a not-for-profit network of hospitals, physicians, clinics, care centers, hospice and home health programs, and diverse community services across western Montana. With more than 40 clinics, two hospitals and over 2,000 caregivers statewide, their health and services organizations work together to provide quality care to those in need.