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Clinical Documentation Specialist

Conemaugh Memorial Medical Center
Johnstown, PA Full Time
POSTED ON 3/9/2025
AVAILABLE BEFORE 6/9/2025

Clinical Documentation Specialist-7479-9577

Description

Who Are We :

People are our passion and purpose. Conemaugh Health System, of Duke LifePoint Healthcare, is the largest healthcare provider in west central Pennsylvania, serving over a half-million patients each year through the Conemaugh Physician Group and Medical Staff, a network of hospitals, specialty clinics, and patient-focused programs. Conemaugh Health System employs over 5,000 clinical and non-clinical staff and over 450 physicians committed to providing the ideal patient experience.

Where We Are :

The city of Johnstown is home to high-performing schools and safe, affordable neighborhoods that make working, living, and raising a family special. There are many opportunities for educational advancement, including the University of Pittsburgh at Johnstown, Saint Francis University, and Mount Aloysius College.

Why Choose Us :

Health (Medical, Dental, Vision) and 401K Benefits for full-time employees

Competitive Paid Time Off / Extended Illness Bank package for full-time employees

Employee Assistance Program – mental, physical, and financial wellness assistance

Tuition Reimbursement / Assistance for qualified applicants

Professional Development and Growth Opportunities

And much more…

Position Summary :

Facilitate improvement in the overall quality, completeness, and accuracy of clinical documentation. Through concurrent interaction with physicians, case managers, coders, and other health care team members, the Clinical Documentation Specialist will strive to ensure comprehensive medical record documentation that reflects the clinical treatment, decisions, and diagnosis for all inpatients. Serving as a resource to all members of the health care team on documentation guidelines, this position will provide guidance and support, as well as assist with education and training related to improving clinical documentation.

EEOC Statement :

Conemaugh Health System is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.

Qualifications

Minimum Qualifications :

Required : Bachelor’s degree. Licensed Registered Nurse (RN), RHIA, RHIT, Licensed Practical Nurse (LPN), or combination thereof Preferred. Prior experience in clinical documentation improvement and care management. Minimum of 3 years’ experience in an acute care facility for RNs with demonstrated critical thinking skills. Process improvement in an acute care facility preferred or equivalent experience—coding skills with knowledge of CMS Inpatient Prospective Payment System and working knowledge of AHA Coding Clinic.

Preferred : Certified Clinical Documentation Improvement Specialist (CCDS) or Certified Documentation Improvement (CDIP) credentials.

Administration / Clerical

Primary Location

Pennsylvania-Johnstown

Schedule

Full-timeWork ScheduleDay shift, 7-10 hr / shift, weekdays only

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