Community Health Systems Clinical Documentation Specialist (RN)- Full-time, 40 hrs. per wk. in Fort Wayne, Indiana


Under the supervision of the Health Information Management Team Specialist, facilitates modifications to clinical documentation through extensive concurrent interactions with physicians, nursing staff, other patient caregivers, and medical records coding staff, supporting appropriate reimbursement and clinical severity for the level of services rendered to all patients. Supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes. The Clinical Documentation Specialist educates all members of the patient care team on an ongoing basis.


Minimal Acceptable Job Qualifications:

Licensure: Current Indiana State RN license

Experience: Five years experience in a hospital setting as a Registered Nurse or two years experience in hospital case management/utilization review

Education: Completion of nursing program and/or Bachelors degree

Other: Demonstrates knowledge of the hospital service theme

Demonstrates basic understanding of coding guidelines

Demonstrates strong interpersonal and communication skills, both written and verbal in order to establish and maintain positive therapeutic/working relationships with all internal and external customers.

Must be able to accept responsibility, make independent decision and interact with professionals

Must have the ability to manage multiple tasks simultaneously

Requires strong analytical and organizational skills to prepare and maintain various documentation/report and ensure compliance with hospital policies and procedures as well as current government and state regulations

Equal Opportunity Employer

Job: Health Information Management

Organization: Dupont Hospital

Location: IN-Fort Wayne

Requisition ID: 1823447