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Clinical Documentation Registered Nurse II - St Elizabeth Hospital
Implement sustained work process changes to facilitate complete and accurate clinical documentation.
Corpus Christi, Texas, US
Mid-Level
2 months ago
Christus Health
Christus Health is a healthcare organization providing medical services in Santa Fe, New Mexico.
Healthcare
Job is no longer active
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✨ About The Role
- Responsible for improving the quality and completeness of medical record documentation
- Analyzing patient clinical status, treatment plans, and medical history to identify gaps in physician documentation
- Collaborating with physicians, nursing staff, and coding team to ensure accurate DRG assignment
- Developing and implementing education plans for clinical staff on documentation opportunities, coding, and reimbursement
- Maintaining confidentiality of patient information and ensuring compliance with policies and regulations
âš¡ Requirements
- Experience working in a healthcare setting with a focus on clinical documentation and medical records
- Strong communication skills to effectively interact with physicians, caregivers, and coding staff
- Ability to analyze patient information and identify gaps in documentation for accurate DRG assignment
- Knowledge of medical terminology and clinical processes to support accurate documentation
- Detail-oriented with the ability to maintain electronic records and update documentation as needed
Clinical Documentation Registered Nurse II - St Elizabeth Hospital
Corpus Christi, Texas, United States
Registered Nurse
Job is no longer active
About Christus Health
Christus Health is a healthcare organization providing medical services in Santa Fe, New Mexico.