Clinical Documentation Specialist jobs in United States
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UVA Health · 3 weeks ago

Clinical Documentation Specialist

UVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. They are seeking a Clinical Documentation Specialist who will evaluate physician documentation to ensure accurate representation of patient severity in medical records and provide guidance on documentation best practices.

Health CareHospitalMedical

Responsibilities

Responsible for the day to day evaluation of inpatient documentation in accordance with the Clinical Documentation Program requirements
Ensures the accuracy and completeness of clinical information which is used for measuring and reporting physician and hospital outcomes
Communicate with members of the medical staff on an ongoing basis to assure the documentation in the medical record adequately reflects the diagnoses being treated and the procedure performed
In addition to the above job responsibilities, other duties may be assigned

Qualification

Clinical DocumentationRegistered Nurse LicenseICU ExperienceNursing DegreeCommunication Skills

Required

RN, graduate of accredited nursing program and Bachelor of Science in Nursing required within 5 years of hire
A minimum of three years of experience as a Clinical Documentation Specialist is required
Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia

Preferred

Clinical experience in multiple areas, particularly in the ICU

Benefits

Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
Paid Time Off, Long-term and Short-term Disability, Retirement Savings
Health Saving Plans, and Flexible Spending Accounts
Certification and education support
Generous Paid Time Off

Company

UVA Health

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UVA Health is a healthcare center that provides home healthcare, dentistry, and palliative care services.

Funding

Current Stage
Late Stage
Total Funding
$0.1M
Key Investors
Virginia Innovation Partnership Corporation
2025-01-14Grant· $0.1M

Leadership Team

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Erik Shannon
CEO UVA Community Health
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K. Craig Kent
Chief Executive Officer
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