Baptist Health - Central Alabama · 2 hours ago
Clinical Documentation Specialist Team Leader
Montgomery, AL
Full-time
Onsite
Mid, Senior Level
3+ years expBaptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services. The Clinical Documentation Specialist, Team Lead is responsible for facilitating the clinical documentation improvement program, ensuring accurate and timely documentation in medical records, and collaborating with healthcare professionals to enhance patient safety and quality of care initiatives.
Health CareHospitalTest and Measurement
Responsibilities
Provide a key role to facilitate long-term success of the clinical documentation improvement and integrity program
Increase CDS program awareness with the goal to enhance the appropriateness and comprehensiveness of documentation within the medical record
Ensure Physician and allied health documentation accurately represent the condition and co-morbidities for patients
Work in collaboration with clinicians, coding professionals, Physicians, Physician Assistants, and Residents to ensure accurate and timely clinical documentation in the medical record that supports the coding process
Support ongoing communication and education on documentation opportunities, coding and reimbursement issues, as well as performance improvement methodologies to Physicians and other hospital staff
Assist in the maintenance of the CDS dashboard and report outcomes at the monthly CDS Committee Meeting
Mentor staff as the program continues to grow based on identified needs
May have additional duties assigned that are within scope of the role
Qualification
Required
High School diploma or equivalent required
At least 3 years' experience as a Clinical Documentation Specialist
Active RN or LPN licensure required
Certified Documentation Specialist (CCDS) Certification required
In lieu of degree and license must have Certified Coding Specialist (CCS)
Excellent knowledge of MS Office and familiarity with relevant computer software
Strong team leadership skills
Strong organization, interpersonal, and customer relations skills
Must be able to meet strict deadlines
Familiarity with MS-DRGs, Inpatient Prospective Payment System (IPPS), and ICD-10 coding guidelines
Strong analytical and problem-solving ability
Excellent organizational skills
Practical knowledge and understanding of official documentation requirements in support of principal and secondary diagnoses
Must be able to complete multiple tasks simultaneously
Ability to develop trust with leaders in the organizations
Strong written and oral communication skills
Proficient computer skills
Proven track record of successful performance
Ability to understand complex multifactor situations and bring appropriate solutions
Ability to work both independently and in a team environment
Preferred
Degree in Nursing
Company
Baptist Health - Central Alabama
Baptist Health is the largest health care system in Central Alabama and a proud affiliate of the UAB Health System.
Founded in 1975Montgomery, Alabama, USA
1001-5000 employees
H1B Sponsorship
Baptist Health - Central Alabama 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 (3)
2024 (4)
2023 (2)
2022 (3)
2021 (20)
2020 (6)
Funding
Current Stage
Late StageLeadership Team
Clyde Williams
Chief Information Officer
Glenda Russell
Sr. Executive Assistant to the President/CEO
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