What are the responsibilities and job description for the Clinical Documentation Improvement Specialist position at Norton Healthcare?
Responsibilities
The Clinical Documentation Improvement Specialist is a professional nurse accountable for the documentation management of a group of patients. The clinical documentation specialist focuses on safe effective patient care, customer satisfaction and quality outcomes. They are responsible for assisting in maintaining a financially stable department, promoting their own development with an emphasis on evidence based practice and education supported by a Practice Governance framework. Upon admission and concurrently throughout the inpatient stay, the clinical documentation specialist reviews the medical record for documentation that is ambiguous or nonspecific. The clinical documentation specialist proactively engages the physician in discussion to clarify documentation to ensure the inpatient medical record accurately reflects the patient’s severity of illness and the intensity of services provided. The clinical documentation specialist collaborates in the application of Core Measures to manage the care of targeted diagnoses within the system’s primary service lines.
Norton Healthcare is committed to establishing health equity in every neighborhood, and Norton West Louisville Hospital is an example of that commitment put into action. Opening November of 2024, this state-of-the-art facility is being built at 850 South 28th Street and will offer comprehensive services, including a 24-hour emergency department, inpatient care, operating rooms and imaging technology. It will serve both adults and children. It’s designed with the voice of the community in mind, and will change health care for generations to come.
Qualifications
Required :
- Three years in a critical care or medical surgical hospital setting
- Bachelor Degree - If education requirement of BSN met, then RN is required. If education requirement of Medical Degree is met, then RN is not required.
- Registered Nurse - If education requirement of BSN met, then Registered Nurse (RN) credential is required. If education requirement of Medical Degree is met, then Registered Nurse (RN) credential is not required.
Desired :
