Clinical Documentation Specialist
We Fight Cancer: Care That Never Quits®
Cancer Treatment Centers of America® (CTCA®) delivers an extraordinary patient experience we call Patient Empowered Care®. We deliver state-of-the-art, high quality care through an integrative model where a team of experts puts patients at the center of their own care. Every day is purposeful. Every day, you will help patients win the fight against cancer. Every day is challenging and rewarding beyond your imagination.
The Best Place to Work
We call ourselves Stakeholders because we all have a stake in the care and success of every patient. Today, CTCA Stakeholders deliver healing and hope to patients fighting complex and advanced cancer in Atlanta, GA, Chicago, IL, Philadelphia, PA, Phoenix, AZ and Tulsa, OK. Each of our hospitals earned a Best Place to Work distinction and has received numerous accreditations that celebrate our culture of clinical quality, innovation, high performance and wellness.
A Culture of Teamwork, Empowerment & Development
CTCA provides Stakeholders with exceptional support and easy access to a wide range of tools and resources they need to bring the best of themselves, every day. Our benefits, wellness, and compensation programs lead the market. Imagine accessing your own personal health coach! We also provide extensive training and career development opportunities that encourage professional and personal growth. Those are just a few of the ways we empower our Stakeholders to deliver the highest standard of care that we call the Mother Standard®.
The Clinical Documentation Specialist concurrently reviews medical records to identify opportunities for documentation improvement. This individual generates written or verbal queries in cases where additional documentation is needed to support severity of illness, specificity of diagnosis and treatment performed, and to ensure that the documentation supports accurate diagnostic and procedural coding and DRG assignment. Responsibilities also include the education of members of the patient care team (physicians, physician extenders, allied health practitioners, nurses, Care Managers) regarding documentation guidelines. The CDS serves as a liaison between the coding professionals and the medical staff. The CDS participates in performance improvement and utilization issues as they relate to documentation. The main goal of the CDS position is to improve the level of documentation throughout the enterprise.
Key Position Qualifications
- Registered Nurse (RN), Licensed Practical Nurse (LPN), with 5 years of nursing experience, preferably in Med/Surg, Critical Care, Intensive Care or the Emergency Department or a Registered Health Information Administrator/Technician (RHIA),(RHIT)
- Must have 3 years of Inpatient Coding experience
- 1year experience with a clinical documentation improvement program
- RHIA, RHIT, CCS, or CPC-H certification a plus
- AHIMA, ACDIS trained a plus; will require certification after 1 year of hire through ACDIS or AHIMA if not already obtained.
- Experience in education and training in clinical documentation preferred
- Utilization Management background preferred—change Review to Management
- Obtains continuing education to maintain all certifications and licenses
Beyond The Resume, What We Look For
We select people with talent—people who thrive in an environment of continuous improvement. We are creative and resourceful problem solvers. We are inventors and innovators. We are fighters at heart and we look for people who delight in serving patients. The power, determination and beauty of the human spirit will enrich and energize you. As a CTCA Stakeholder, you make the difference in the life of a patient.
All applications will be kept in the strictest of confidence.
We are an equal opportunity employer and welcome diversity in all its forms.