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Clinical Documentation Specialist

Huntsville Hospital Health System

Responsible for coordinating the review of concurrent inpatient clinical documentation and working with providers to ensure clinical disease processes are accurately documented and that documentation reflects the patient's severity of illness.

Functions under the direct authority and supervision of the Director of Health Information Management.

Key duties

  • Manage concurrent documentation improvement functions on a daily basis
  • Coordinate concurrent coding clarification issues with physicians
  • Provide timely reporting of concurrent coding and documentation improvement efforts
Requirements & Qualifications

Education

  • Associate degree or other two-year college equivalent
  • Graduate of an accredited Health Information Technician (HIT), Health Information Management (HIM), or RN education program
  • BSN preferred

Licensure / certification / experience

  • RHIT or RHIA with at least 2 years of experience in supervision or management and 1-3 years of coding experience, or
  • Registered Nurse license with at least 5 years of nursing experience in med/surg, critical care, or emergency services

Location

Alabama, US

Employment Type

Full-time

Experience Level

Intermediate Level

Remote work allowed

No

Posted

2 months ago

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