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Registered Nurse (Clinical Documentation Specialist)

Company: Veterans Affairs, Veterans Health Administration
Location: Columbia
Posted on: September 15, 2018

Job Description:

The Clinical Documentation Specialist (RN) provides clinical expertise and leadership for the implementation of the Medical Center's Clinical Documentation Improvement Program. Possesses current/up-to-date clinical knowledge to efficiently and concurrently review medical records. Identifies opportunities for improved documentation and has knowledge of utilization management processes, clinical documentation requirements, current standards of care, coding and compliance guidelines. Utilizes a variety of collaborative strategies with physicians, mid-level providers and other members of the interdisciplinary team, Medical Care Cost Recovery (MCCR) and Health Information Management (HIM) staff to ensure the severity of illness and level of service. Demonstrates knowledge of complex automated data processing systems and their application for communication and data management (e.g. Claims Tracking software, VISTA, CPRS, VSSC, VHA Intranet, Microsoft Word, etc.) Assumes leadership responsibility in providing direct support for the development, coordination, maintenance and operation of the Clinical Documentation Improvement Program at the facility and service level. Work Schedule: Monday - Friday 8:00am to 4:30pm. Alternate work schedule/ tour of duty maybe required based on agency needs. Financial Disclosure Report: Not required Functional Statements: 6-A/5-A

Keywords: Veterans Affairs, Veterans Health Administration, Columbia , Registered Nurse (Clinical Documentation Specialist), Healthcare , Columbia, South Carolina

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