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Job Details

Registered Nurse Clinical Doc. Specialist

Company name
UMC Health System

Lubbock, TX

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Title: Registered Nurse Clinical Doc. Specialist

JobID: 7139


PART I - General Job / Performance Information

Education and Experience

At least 5 years of experience as an R.N. in a acute care setting is required.

Environmental / Working Conditions

Inside office environment

Interaction with Other Departments and Other Relationships

The CDS must be able to communicate effectively with physician providers, resident staff, physician extenders and other support staff on the nursing units. Each CDS will also work closely with HIM Coding staff.

Job Description

The Clinical Documentation Specialist (CDS) provides concurrent review of the clinical content in the active patient medical record and queries the medical staff to obtain specific and complete documentation that supports the severity of patient illness and risk of mortality. The CDS conducts initial and extended stay reviews on all selected admissions and identifies opportunities for improvement, education, and increased quality of care.

Required Licensures / Certifications / Registrations

Current R.N. license is required

Physical Capabilities

The position requires the ability to stand and walk frequently.

Skills and Abilities

Strong clinical skills

Excellent written and verbal communication

Knowledge of Medicare reimbursement procedures and rules

Fundamental knowledge of coding practices

Job Type: Full time

Category: Nursing

Company info

UMC Health System
Website :

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