Clinical Documentation Specialist - FT Days at AdventHealth

Date Posted: 2/4/2021

Job Snapshot

  • Job Schedule
  • Location:
    Killeen, TX
  • Date Posted:
  • Job ID:
  • Job Family
    Care Management
  • Travel
  • Shift
    1 - Day

Job Description


Clinical Documentation Specialist - AdventHealth Central Texas

Location Address: 2201 S Clear Creek Rd., Killeen, TX  76549

Top Reasons to Work At AdventHealth Central Texas, Killeen, TX

  • Our care for patients extend to the spiritual level by praying with patients and families and providing on call, 24 hours, 7 days a week Chaplains for spiritual support.
  • Award winning facility with opportunities to grow both professionally and personally working with great individuals, part of a bigger team that continues to build a world-class culture where you become family.
  • Extraordinary benefits to include tuition reimbursement and on-campus classes.
  • Cost of living is 20 percent lower than the national average
  • Largest school district in the area, with more than 50 elementary, middle, high school, and specialized campuses to choose from
  • Surrounded close to Ft. Hood, Copperas Cove, to Belton and Lampasas with plenty of restaurants, shopping and other family fun events.
  • Miles of scenic trails and parks available for recreational activity

Work Hours/Shift:

Full Time / Days

You Will Be Responsible For:

  • Facilitate modification to clinical documentation supporting the clinical level of severity rendered
  • Support timely, accurate and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes
  • Educate the medical staff and other clinicians using a variety of teaching methods.
  • Provide orientation to newly credentialed physicians.
  • Collaborate with the HIM inpatient coding staff to assist their understanding/clarification of documentation leading to appropriately assigning the DRG representing the patient’s severity of illness/resource consumption.

What You Will Need:

  • Active and current RN license
  • Must have at least five years of nursing experience
  • Certified Clinical Documentation Specialist preferred
  • Nursing experience in critical care areas preferred           
  • Experience in case management or quality areas preferred

Job Summary:

A position utilizing clinical expertise to evaluate concurrent documentation and level of severity of illnesses delivered to patients.  Thorough extensive interaction with physicians and multidisciplinary team members, the CDS will be responsible for facilitating modifications to overall quality and completeness of medical record documentation.  This will support the appropriate clinical picture/level of severity of the patient while providing accurate and complete information that is utilized in the profiling of outcomes reporting of both the hospital and the physicians.  This role will interface with management and key physician leaders at the hospital at it prepares strategically for a competitive and solid future in today’s healthcare market.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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