Parrish Medical Center ยท 1 month ago
Clinical Documentation Specialist
Titusville, FL
Full-time
Onsite
Senior Level
5+ years expParrish Medical Center is seeking a Clinical Documentation Specialist to coordinate the review of concurrent inpatient clinical documentation and ensure accurate documentation for severity of illness. The role involves extensive record review, interaction with healthcare professionals, and participation in team meetings to educate staff on the Clinical Documentation Improvement process.
Health CareHospitalMedicalMental HealthNon ProfitWellness
Responsibilities
Analyzes documented data and information to assist in determining areas for improvement in documentation and proper DRG selection. Provides concurrent reviews of inpatient medical records, identify potential documentation deficits, and clarifies with providers (physicians, PAs, ARNPs, etc.) to ensure the appropriate severity of illness is documented
Has a working knowledge of correct principal diagnosis and principal procedures. Understands ICD-10 coding and DRG principles in accordance with coding and reimbursement guidelines. Is able to validate DRG grouping and relate grouping methodology to documentation needs
Utilizes documentation software and EMR templates to maintain accuracy of data for tracking purposes
Formulates appropriate documentation clarification queries using established guidelines to clarify questionable or incomplete documentation
Identifies clinical or system/process breakdowns and improvement opportunities and refers them to the appropriate areas (CM, Risk, Quality) for resolution
Acts as a documentation resource for Nursing, Case Managers, Coding, and Physicians. Actively participates in the education of healthcare team members on current healthcare economic issues impacting practice patterns, reimbursement and positive patient outcomes
Attends professional in-services and coding in-service programs
Participates on hospital committees as assigned. Performs similar or related duties as assigned. Knows fire, disaster and safety procedures and regulations as pertains to the work area
Qualification
Required
Associates degree, or other two year college equivalent. Major required: Nursing. Graduate of an accredited RN Education Program
Minimum of five (5) years nursing experience in Med/Surg., Critical Care, or similar nursing experience
State of Florida RN license
Preferred
BSN preferred
ICD-10 training and certification preferred
Certified Documentation Improvement Practitioner (CDIP) or Certified Clinical Documentation Specialist (CCDS) credentials preferred
Benefits
Benefits Start on Day 1
Health, Dental and Vision Insurance
403(b) Retirement Program
Tuition Reimbursement/Educational Assistance
EAP, Flex Spending, Accident, Critical and Other Applicable Benefits
Annual Accrual of 152 Personal Leave Bank (PLB) Hours
Company
Parrish Medical Center
Parrish Healthcare has been proudly serving Brevard County since 1958 and continues to contribute to the physical, social, environmental and economic health and well-being of the community and people we have the privilege to serve.
1001-5000 employees
H1B Sponsorship
Parrish Medical Center 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
2025 (1)
2024 (7)
2023 (2)
2022 (1)
Funding
Current Stage
Late StageLeadership Team
Christopher McAlpine
Sr. Vice President, Chief Transformation Officer
Edwin Loftin
VP Acute Care Services/Chief Nursing Officer
Recent News
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