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Clinical Documentation Specialist
Franciscan Missionaries of Our Lady Health SystemClinical Documentation Specialist improving accuracy and completeness of clinical documentation in medical records at FMOLHS. Collaborating with clinicians and coders for regulatory compliance and operational improvement.
About the role
Key responsibilities & impact- Improves the accuracy and completeness of clinical documentation in medical records
- Performs thorough reviews and requests clarifications from clinicians
- Facilitates modifications that accurately reflect patient severity, risk, and resource use
- Collaborates with clinicians and coders
- Ensures compliance with regulatory guidelines
- Supports accurate reporting of provider and hospital outcomes
- Actively contributes to operational improvements
- Participates in education and program-related activities
Requirements
What you’ll need- RN with 3 or more years of clinical nursing experience in an acute care setting
- RHIA or RHIT with 5 or more years of inpatient (acute care) ICD 10 coding experience
- Graduated from an accredited school of nursing or Associate in Nursing or HIM
- RN Nurse Licensure Compact (NLC), Louisiana licensed RN and/or Mississippi licensed RN
- RHIA with CCS Certification preferred or RHIT with CCS Certification preferred
Benefits
Comp & perks- Health insurance
- Flexible work arrangements
- Professional development opportunities
- Paid time off
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD 10 codingclinical documentation improvementpatient severity assessmentrisk assessmentresource utilizationregulatory complianceoperational improvementseducation program facilitation
Soft Skills
collaborationcommunicationattention to detailcritical thinking
Certifications
RNRHIARHITCCS Certification