RN -Clinical Documentation Specialist

Description

Transform Documentation, Elevate Care - Join Us as a Clinical Documentation Specialist

What We're Looking For:

• A detail-oriented, analytical RN with strong clinical judgment and a passion for documentation accuracy
• Four years of recent acute care clinical experience required
• Utilization Review or coding experience preferred
• BSN preferred
• Current Louisiana RN licensure required
• Strong critical-thinking, communication, and decision-making skills
• Ability to collaborate effectively with physicians, nursing, coding, and interdisciplinary teams
• Exceptional ability to evaluate documentation, identify gaps, and educate clinical staff

Why You'll Love Working With Us:

At Baton Rouge General our patients aren't the only people we take care of - we take care of our team too. We are proud to offer our employees the benefits and resources they need to be their best selves at work and at home.

• A comprehensive benefits program for you and your family
• Professional development & support
• Various employee perks including generous paid time off, flexible positions, and our Baton Rouge General Fit! program
• We are a nationally and locally recognized leader in quality and ranked one of the best healthcare employers in the state
• Check out our employee perks here!

What You Will Do:

As a Clinical Documentation Specialist, you will ensure the accuracy, quality, and completeness of clinical documentation to support exceptional patient care, accurate coding, and appropriate reimbursement.

• Perform admission and concurrent reviews to identify key diagnoses, comorbidities, and documentation needs
• Collaborate with physicians, coding teams, and clinical staff to clarify and improve documentation
• Conduct follow-up reviews to ensure all clinical information is captured and accurately reflects the patient's severity of illness
• Facilitate documentation clarifications through direct conversations or formal query processes
• Serve as a resource for documentation standards, DRG methodology, coding guidelines, and quality reporting
• Educate physicians and staff on opportunities for improved documentation and compliance
• Ensure documentation supports accurate reporting of HACs, PSIs, and other quality measures
• Participate in quality initiatives, committee work, and departmental collaboration
• Perform other duties as assigned

What Sets BRG Apart:

At Baton Rouge General, we are a community of compassionate, caring individuals who set the bar when it comes to healthcare excellence. Our mission is to preserve and restore health, one person at a time. From clinical to non-clinical - what you do here matters.

With over 600 licensed beds between three campuses, Baton Rouge General offers the full spectrum of care, from delivering newborns to providing end-of-life support through hospice. With clinics across Baton Rouge and surrounding areas, our physician group provides comprehensive primary and specialty care.

Ready to be part of a team that values your skills and dedication? Apply now and take the next step in your career with us.