CLINICAL DOCUMENTATION SPECIALIST
Carson Tahoe Health
Description US:NV:Carson City Health Information Management Full Time Day Shift About Carson Tahoe Health CTH is a not-for-profit healthcare system with 240 licensed acute care beds, fully accredited by the Center for Improvement in Healthcare Quality (CIHQ). CTH was voted 5th most beautiful hospital in the nation nestled among the foothills of the Sierra Nevada in North Carson City and only a short drive away from world-famous Lake Tahoe & Reno. We serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations. Summary
• The Clinical Documentation Specialist works concurrently with the interdisciplinary team to improve the overall quality and completeness of clinical documentation in the patients' medical record. Facilitates appropriate inpatient and long term acute care clinical documentation thought extensive interaction with provider, nursing staff, other patient caregivers, and health information management professionals. Ensures that documentation reflects the level of services rendered to all patients who are MS-DRG payers. Ensures the accuracy and completeness of clinical information used for measuring and reporting providers and medical center outcomes to various reporting agencies. Qualifications
• Required
o 5 years of coding experience, with at least 3 years of inpatient coding. To include active certificate below.
• AHIMA RHIA
• AHIMA RHIT
• AHIMA CCS
• AAPC CIC
o Or active RN license with at least 2 years' acute care nursing experience
• Preferred
o Bachelor's degree in health field or equivalent professional experience.
o AHIMA CDIP or ACDIS CCDS certification
o EHR experience
o Inpatient CDI experience Top 5 Reasons to Live in Carson City, Nevada
• The Clinical Documentation Specialist works concurrently with the interdisciplinary team to improve the overall quality and completeness of clinical documentation in the patients' medical record. Facilitates appropriate inpatient and long term acute care clinical documentation thought extensive interaction with provider, nursing staff, other patient caregivers, and health information management professionals. Ensures that documentation reflects the level of services rendered to all patients who are MS-DRG payers. Ensures the accuracy and completeness of clinical information used for measuring and reporting providers and medical center outcomes to various reporting agencies. Qualifications
• Required
o 5 years of coding experience, with at least 3 years of inpatient coding. To include active certificate below.
• AHIMA RHIA
• AHIMA RHIT
• AHIMA CCS
• AAPC CIC
o Or active RN license with at least 2 years' acute care nursing experience
• Preferred
o Bachelor's degree in health field or equivalent professional experience.
o AHIMA CDIP or ACDIS CCDS certification
o EHR experience
o Inpatient CDI experience Top 5 Reasons to Live in Carson City, Nevada
- Live, work and play in one of the most beautiful regions in the world
- Enjoy an array of outdoor activities world class skiing, golf, camping, mountain biking, hiking, water skiing, kayaking, hunting and fishing
- Just next door is Beautiful Lake Tahoe
- We are minutes from Reno known as the 'biggest little city in the world' - Fine dining, nightlife, shopping and home to the University of Nevada Reno.
- Family friendly atmosphere with affordable housing & excellent school system
- No State Income Tax
- Medical, Dental, Vision, FSA, Telehealth
- Paid Time Off, Mental Health, and Volunteer Days
- 100% Vested 401K & Roth with Company Contribution
- Tuition Reimbursement
- Referral Bonuses
- On Site Education & Certification Programs
- Base Wage Increases for Relevant Advanced Degrees
- Free Calm App Subscription
Vacancy posted 11 hours ago
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