Lifepoint Health® · 4 months ago
Lead Clinical Documentation Specialist
Lifepoint Health, a diversified healthcare delivery network, is seeking a Lead Clinical Documentation Specialist at Raleigh General Hospital. This role involves facilitating improvement in the quality and accuracy of clinical documentation through collaboration with healthcare team members, conducting medical record reviews, and providing education on documentation guidelines.
Health CareHospitalMedicalRehabilitation
Responsibilities
Facilitates improvement in the overall quality, completeness, and accuracy of clinical documentation
Conducts reviews of inpatient medical records to identify missing, vague, and/or incomplete diagnoses and procedures
Conducts timely follow-up reviews of clinical documentation to ensure that issues discussed and queries left in the medical record have been answered by the provider
Utilizes coding and clinical expertise to identify opportunities and ensure the accuracy and completeness of clinical documentation used for measuring and reporting physician and hospital outcomes
Queries physicians on specificity of procedures performed and diagnoses based on accepted coding guidelines, clinical expertise and LifePoint Hospitals query policy
Tracks and trends specific opportunities for CDI process improvement through the utilization of metrics reports
Acts as a strong advocate of the CDI program while educating physician, clinical, and other staff on the importance of clinically accurate documentation and the capture of data through ICD-10
Qualification
Required
Current state RN or LPN/LVN license
BCLS Certification Required
3 years of Clinical documentation experience
Requires critical thinking skills
Requires decisive judgment
Ability to work with minimal supervision
Must be able to work in a stressful environment and take appropriate action
Preferred
Bachelor's Degree
Previous Leadership experience
RHIT and/or RHIA, CCDS or CDIP certification
Benefits
Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
Professional Development: Ongoing learning and career advancement opportunities.
Company
Lifepoint Health®
Lifepoint Health is a leading healthcare provider that serves patients, clinicians, communities and partner organizations across the healthcare continuum.
H1B Sponsorship
Lifepoint Health® has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (2)
2020 (2)
Funding
Current Stage
Public CompanyTotal Funding
$1.9B2024-05-09Debt Financing· $800M
2023-09-29Debt Financing· $1.1B
2018-07-23Acquired
Leadership Team
Recent News
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2026-01-09
2026-01-07
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