Clinical Documentation Specialist – Level 3

Role Overview

• Provides clinical based review and analysis of the documentation in the patient’s medical record
• Supports accurate capture of patient’s complexity and severity of illness
• Utilizes queries of medical staff and other caregivers to clarify and support completeness of documentation
• Collaborates with physician, mid-level providers, and medical records coders to identify principal and secondary diagnoses
• Conducts initial and ongoing concurrent and some retrospective reviews for system wide admissions
• Initiates tracking process and documents findings on EHR tracking system
• Communicates with providers to capture accurate documentation of patient’s severity of illness

Requirements

• Minimum of five (5) years recent CDIS experience
• Proficient use of EPIC and 3M 360 Encompass software programs
• Current Oregon RN License
• CCDS (Certified Clinical Documentation Specialist) or CDIP (Certified Documentation Improvement Practitioner)
• As required by licensure for RN.

Benefits

• Competitive Salary
• Comprehensive benefits including Medical, Dental, Vision for you and your immediate family
• 403b with up to 6% match on Retirement Contributions
• Generous Earned Time Off
• Growth Opportunities within Healthcare