Lead Clinical Documentation Specialist jobs in United States
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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
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H1B Sponsor Likelynote

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

Clinical documentation experienceRNLPN licenseBCLS CertificationRHIT certificationCDDS certificationCDIP certificationDecisive judgmentCritical thinking skillsLeadership experience

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®

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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 Company
Total Funding
$1.9B
2024-05-09Debt Financing· $800M
2023-09-29Debt Financing· $1.1B
2018-07-23Acquired

Leadership Team

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Jason Zachariah
Chief Operating Officer/EVP
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Jennifer Peters
Executive Vice President Chief Administrative and Legal Officer
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Company data provided by crunchbase