Clinical Documentation Specialist

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Closing Date 08/25/2026 Type of Position Professional Staff - Project/Program Administration Job Type Regular Work Shift Day Shift (United States of America) Sponsorship Available No Institution Name University of Arkansas for Medical Sciences The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans. UAMS offers amazing benefits and perks (available for benefits eligible positions only) Health: Medical, Dental and Vision plans available for qualifying staff and family Holiday, Vacation and Sick Leave Education discount for staff and dependents (undergraduate only) Retirement: Up to 10% matched contribution from UAMS Basic Life Insurance up to $50,000 Career Training and Educational Opportunities Merchant Discounts Concierge prescription delivery on the main campus when using UAMS pharmacy Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. The University of Arkansas is an equal opportunity institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of any category or status protected by law, including age, race, color, national origin, disability, religion, protected veteran status, military service, genetic information, sex, sexual preference, or pregnancy. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University’s Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights. Persons must have proof of legal authority to work in the United States on the first day of employment. All application information is subject to public disclosure under the Arkansas Freedom of Information Act. Department FIN | CORE CDI Clinical Doc Team Summary of Job Duties The Clinical Documentation Improvement Specialist is responsible for improving overall quality and completeness of clinical documentation to ensure that the information in the medical record accurately reflects the patient's severity of illness, clinical needs, and utilization of resources. This position is responsible for reviewing death medical records to ensure the severity of illness and risk of mortality has been captured at the highest level. This position works with the providers of care to capture the clinical care in a code format for reimbursement and to ensure UAMS has the correct case mix. Reviews all admission types to the hospital to ensure of severity is captured and then educates the providers of care on admission types. Qualifications Minimum Qualifications Registered Nurse (RN) with current license plus 4 years inpatient clinical experience in Emergency, Critical Care, or Medical/Surgical area with experience in Quality, Case Management, Clinical Audit, or Data Abstraction OR Coding professional with CCS certification and 6 years of inpatient coding experience with documented education in anatomy/physiology and pharmacology. CCDS is required within 6 months of hire Preferred Qualifications Current CCDS Additional Information Applies extensive clinical knowledge to read and analyze health record documentation, identifying all significant diagnoses, treatment, and procedures impacting acuity level and resources consumed throughout the current hospitalization; applies knowledge of disease processes, surgical procedures, UHDDS definitions, and the CMS/NCHS ICD-10 Official Coding Guidelines for Coding and Reporting to assign non-indexed terms to the appropriate class within the ICD-10 coding classification system. Reviews all death medical records and works with Vizient calculator to ensure risk of mortality and severity of illness scores are correct. Reviews all admission types to the hospital to ensure severity is captured. Interacts directly with physicians, nursing staff, other patient caregivers, coding staff, and other members of the health care team to facilitate clarification of clinical documentation and transfer of knowledge related to accurate documentation, coding, and reimbursement practices; ensures that documentation is clear, concise, and written in diagnostic terms reflecting the highest level of specificity. Develops and facilitates education related to clinical documentation improvement, coding guidelines, and regulatory requirements to all members of the healthcare team through one‑on‑one communication and classroom or large group presentations throughout the year as assigned. Performs other duties as assigned. Salary Information Commensurate with education and experience Required Documents to Apply List of three Professional References (name, email, business title), Resume Optional Documents Proof of Veteran Status Pre-employment Screening Requirements Criminal Background Check Constant Physical Activity Manipulate items with fingers, including keyboarding, Repetitive Motion, Sitting Frequent Physical Activity Hearing, Talking Occasional Physical Activity Crawling, Crouching, Kneeling, Lifting, Pulling, Pushing, Standing, Walking Benefits Eligible Yes #J-18808-Ljbffr