Clinical Documentation Spec

Springfield, MO, US, United States

Job Description

Facility:



Primrose Place: 1115 E Primrose, Springfield, Missouri, United States of America, 65807

Department:



1669 HIM Documentation Improvement

Scheduled Weekly Hours:



40

Hours:



8:00 AM - 4:30 PM

Work Shift:



Day Shift (United States of America)
CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence:


Named one of Modern Healthcare's Best Places to work five times. Named one of America's Greatest Workplaces by Newsweek. Recognized as a Greatest Workplace for Women in both 2023 and 2024. Listed as one of the Greatest Workplaces for Diversity in 2024. Acknowledged by Forbesas one of the Best Employers for New Grads. Ranked among the Best Employers by State for Missouri. Healthcare Innovation'sTop Companies to Work for in Healthcare in 2025.

Benefits



Medical, Vision, Dental, Retirement Plan with employer match, and many more!

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Job Summary This position is responsible for facilitating timely and accurate physician documentation in the medical record through concurrent chart review. Interdisciplinary communication and collaboration with physicians, nursing, and ancillary staff including Health Information Management coders is key to the success of this position. This position is also responsible for ongoing education of the patient care team regarding proper clinical documentation utilizing approved guidelines. Understand and utilization of ICD-10-CM and PCS coding assignment and follow Official Coding Guidelines. Job Requirements Education Required: Graduate of an approved nursing program Preferred: Bachelor's Degree in Nursing Experience Required: 3 year's acute care experience, 5 years preferred Preferred: Preferred experience in (ED, ICU, Neuro or Stepdown) Skills Ability to apply coding guidelines when reviewing documentation in the medical record. Ability to perform computer data entry. Ability to work with others and communicate effectively. Licensure/Certification/Registration Required: Registered Nursing License
Preferred: CCDS or CDIP Education Required: Graduate of an approved nursing program Preferred: Bachelor's Degree in Nursing Experience Required: 3 year's acute care experience, 5 years preferred Preferred: Preferred experience in (ED, ICU, Neuro or Stepdown) Skills Ability to apply coding guidelines when reviewing documentation in the medical record. Ability to perform computer data entry. Ability to work with others and communicate effectively. Licensure/Certification/Registration Required: Registered Nursing License Preferred: CCDS or CDIP

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Job Detail

  • Job Id
    JD5944292
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Springfield, MO, US, United States
  • Education
    Not mentioned