RN - Clinical Documentation Specialist

Employment Type

: Full-Time

Industry

: Healthcare - Nursing



Why Join Ascension?

Providence Health System, based in Mobile, Alabama, operates a full service, 349-bed medical/surgical facility accredited by The Joint Commission. Since its founding in 1854, Providence has been serving, caring for and healing the people of Mobile and surrounding areas.

Ascension is a faith-based healthcare organization dedicated to transformation through innovation across the continuum of care. As one of the leading non-profit and Catholic health systems in the U.S., Ascension is committed to delivering compassionate, personalized care to all, especially to those most in need. In FY2018, Ascension provided nearly $2 billion in care of persons living in poverty and other community benefit programs.

What You Will Do

As an Associate with Providence Hospital-AL, you will have the opportunity to facilitate improvement in overall quality, completeness and accuracy of medical record documentation.

Responsibilities:

  • Completes admission reviews and assigns a working Diagnosis Related Group. Ensures the working DRG and other information are entered in the Clinical Documentation Improvement database.
  • Initiates and maintains extensive interactions with physicians and mid-level providers to address the need for more detailed information in the medical record.
  • Collaborates with healthcare professionals to ensure the severity of illness and level of services provided are accurately reflected in the medical record and to resolve physician queries and documentation issues prior to patient's discharge.
  • Maintains accurate records of review activities, ensuring reports and outcomes of CDI efforts are valid.
  • What You Will Need

    Licenses/Certifications/Registration:
  • Required Credential(s):
  • One or more of the following:
  • Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date. 
  • Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date. 
  • Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date. 
  • Registered Nurse credentialed from the Alabama Board of Nursing obtained prior to hire date or job transfer date. 
  • Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date. 
  • Reg Health Info Tech specializing in Radiography credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date. 
  • Preferred Credential(s):
  • Certified Specialist Coder. 
  • Education:
  • Diploma High school diploma/GED with 2 years of experience, or Associate's degree, or Bachelor's degree required
  • Work Experience:
  • 3 years of experience preferred.

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