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Team Lead Clinical Documentation

Tenet Healthcare

DMC Harper University Hospital is seeking a Team Lead for Clinical Documentation to support clinical documentation improvement efforts across Detroit Market Adult Hospitals.

This role works under general supervision to plan, organize, coordinate, and implement clinical documentation guidelines, coding practices, reimbursement review, and quality documentation initiatives. The position also coordinates assigned professional and technical staff and supports clinical research, case conferences, and staff development activities.

Key responsibilities include improving documentation accuracy and completeness, supporting reimbursement optimization, facilitating documentation through collaboration with physicians, nurses, coders, and other care team members, and assisting with departmental planning, reporting, policy development, and process improvement initiatives.

Requirements & Qualifications

Minimum Qualifications

  • Graduate from an accredited school of Nursing, with a Bachelor's degree in Nursing preferred, and a current Michigan RN license
  • Three years of clinically well-rounded medical or surgical acute care nursing experience; critical care experience preferred
  • Two years of experience as a Clinical Documentation Specialist
  • CCDS credential preferred

OR

  • Associate's degree in applied sciences or a related healthcare field; Bachelor's degree in a related area preferred
  • RHIA, RHIT, or CCS credential required
  • Three years of inpatient coding experience
  • Two years of experience as a Clinical Documentation Specialist
  • Acute care hospital experience preferred

OR

  • Graduate from an accredited medical school, foreign or domestic, with CCDS credential
  • Two years of experience working as a Clinical Documentation Specialist in an acute care hospital

Additional Requirements

  • Prior leadership experience, such as precepting or functioning as a departmental leader
  • Strong analytical, critical thinking, communication, and decision-making skills
  • Ability to interpret clinical documentation data and identify discrepancies or trends
  • Knowledge of clinical documentation guidelines, policies, procedures, and third-party payer requirements
  • Strong organizational and prioritization skills
  • Proficiency with computer systems, database software, and spreadsheet programs
Benefits & Perks

Benefits

  • Medical, dental, vision, and life insurance
  • 401(k) retirement savings plan with employer match
  • Generous paid time off (PTO)
  • Career development and continuing education opportunities
  • Health savings accounts
  • Healthcare and dependent flexible spending accounts
  • Employee Assistance Program
  • Employee discount program
  • Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder and childcare support, auto and home insurance

Location

Detroit, Michigan, US

Employment Type

Full-time

Experience Level

Senior

Remote work allowed

No

Posted

1 month ago

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