Clinical Documentation Specialist

Role Overview

• Responsible for improving overall quality and completeness of clinical documentation
• Ensure that the information in the medical record accurately reflects the patient's severity of illness, clinical needs, and utilization of resources
• Review death medical records to ensure the severity of illness and risk of mortality has been captured at the highest level
• Work with the providers of care to capture the clinical care in a code format for reimbursement and to ensure UAMS has the correct case mix
• Review all admission types to the hospital to ensure severity is captured and then educate the providers of care on admission types.

Requirements

• Registered Nurse (RN) with current license plus 4 years inpatient clinical experience in Emergency, Critical Care, or Medical/Surgical area with experience in Quality, Case Management, Clinical Audit, or Data Abstraction OR Coding professional with CCS certification and 6 years of inpatient coding experience with documented education in anatomy/physiology and pharmacology.
• CCDS is required within 6 months of hire

Benefits

• Health: Medical, Dental and Vision plans available for qualifying staff and family
• Holiday, Vacation and Sick Leave
• Education discount for staff and dependents (undergraduate only)
• Retirement: Up to 10% matched contribution from UAMS
• Basic Life Insurance up to $50,000
• Career Training and Educational Opportunities
• Merchant Discounts
• Concierge prescription delivery on the main campus when using UAMS pharmacy