Sentara
CLIN DOCUMENTATION SPEC RN
Sentara, Virginia Beach, Virginia, us, 23450
City/StateNorfolk, VAOverviewWork ShiftFirst (Days) (United States of America)Sentara Health is hiring Clinical Documentation Improvement Specialist (CDS)Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
Position Schedule: This is a Full-Time position, with day shift hours.Work Location: Sentara Leigh Hospital, Norfolk, Virginia.
The Clinical Documentation Improvement Specialist (CDS) is a highly knowledgeable RN who is responsible for concurrent review of provider in-patient medical record documentation. Reviews include new admissions to the facility, as well as follow-up reviews in subsequent days, until discharge.Responsible for facilitation of modifications to clinical documentation through concurrent interaction with providers and other members of the healthcare team, to ensure that appropriate clinical severity of illness and risk of mortality is captured for the level of service rendered.The CDS is responsible for communicating with providers to ensure timely and accurate documentation and then utilizing specific software to code the documentation using ICD-10 codes. Additionally, the CDS provides education and training as needed with the medical staff.The CDS utilizes coding and clinical expertise to identify opportunities and ensure the accuracy and completeness of clinical documentation in the medical record used for measuring and reporting physician/provider hospital outcomes.Minimum Requirements:5 years Acute Care experience in Medical/Surgical or ICU required.Registered Nurse.Other Requirements:Communication; Coordination; Critical Thinking; Judgment and Decision Making; Microsoft Office; Project Management; Social Perceptiveness; Speaking; Technology/Computer; Writing.Qualifications:N-2YR - RN-Associate's Degree (Required), N-3YR - RN-Diploma (Non-degree) (Required). Registered Nurse (RN) Single State - Nursing License - North Carolina, Registered Nurse (RN) Single State - Nursing License - Virginia Department of Health Professionals (VADHP), Registered Nurse License (RN) - Nursing License - Compact/Multi-State License.Skills:Communication, Coordination, Critical Thinking, Judgment and Decision Making, Microsoft Office, Project Management, Social Perceptiveness, Speaking, Technology/Computer, Writing.Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.In support of our mission "to improve health every day," this is a tobacco-free environment.
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Position Schedule: This is a Full-Time position, with day shift hours.Work Location: Sentara Leigh Hospital, Norfolk, Virginia.
The Clinical Documentation Improvement Specialist (CDS) is a highly knowledgeable RN who is responsible for concurrent review of provider in-patient medical record documentation. Reviews include new admissions to the facility, as well as follow-up reviews in subsequent days, until discharge.Responsible for facilitation of modifications to clinical documentation through concurrent interaction with providers and other members of the healthcare team, to ensure that appropriate clinical severity of illness and risk of mortality is captured for the level of service rendered.The CDS is responsible for communicating with providers to ensure timely and accurate documentation and then utilizing specific software to code the documentation using ICD-10 codes. Additionally, the CDS provides education and training as needed with the medical staff.The CDS utilizes coding and clinical expertise to identify opportunities and ensure the accuracy and completeness of clinical documentation in the medical record used for measuring and reporting physician/provider hospital outcomes.Minimum Requirements:5 years Acute Care experience in Medical/Surgical or ICU required.Registered Nurse.Other Requirements:Communication; Coordination; Critical Thinking; Judgment and Decision Making; Microsoft Office; Project Management; Social Perceptiveness; Speaking; Technology/Computer; Writing.Qualifications:N-2YR - RN-Associate's Degree (Required), N-3YR - RN-Diploma (Non-degree) (Required). Registered Nurse (RN) Single State - Nursing License - North Carolina, Registered Nurse (RN) Single State - Nursing License - Virginia Department of Health Professionals (VADHP), Registered Nurse License (RN) - Nursing License - Compact/Multi-State License.Skills:Communication, Coordination, Critical Thinking, Judgment and Decision Making, Microsoft Office, Project Management, Social Perceptiveness, Speaking, Technology/Computer, Writing.Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.In support of our mission "to improve health every day," this is a tobacco-free environment.
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