Clinical Documentation Specialist in Munster, IN at Community Healthcare System

Date Posted: 2/7/2020

Job Snapshot

Job Description

Job ID: 28084

Category: Nursing Services

Facility: Community Foundation of Northwest Indiana, Inc.

Schedule: Full-time

Location: Munster, IN

The Clinical Documentation Specialist (CDS) uses clinical and coding knowledge of documentation requirements to improve overall quality and completeness of clinical documentation as well as relevant diagnoses, procedures and ancillary treatment using a multidisciplinary team process.  A complete and accurate medical record will support the appropriate clinical severity to capture the level of service rendered to the patient.  The CDS must be devoted to ongoing, continuous learning of clinical medicine; practical understanding of International Classification of Disease coding systems and have the ability to education physicians.  Findings and data in the CDI review process shall be shared with the medical staff and multidisciplinary teams for education and solutions in operational excellent of clinical documentation improvement efforts.
To qualify you must have:
  • Current RN license in the State of Indiana.  Bachelors of Science Degree in Nursing preferred.
  • Five (5) years of acute inpatient clinical experience. Critical Care and/or Case Management experience required.
  • Working knowledge of reimbursement systems and coding structures preferred.
  • Excellent verbal and written communication skills.
  • Strong broad-based clinical knowledge and understanding of pathology/pathophysiology.
  • Ability to work independently in a time-oriented environment.
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