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(RN) Clinical Document Specialist/ Full-Time

Christus Health

Santa Fe, NM
12 days ago

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Job Description

Join Christus Health as a Clinical Document Specialist (RN) where you'll play a crucial role in enhancing patient documentation processes within an acute care setting. This full-time position requires strong nursing expertise and excellent communication skills to ensure accurate and efficient documentation.

Key Responsibilities

  • Assess patient medical records accurately
  • Influence physician documentation processes
  • Work collaboratively within a team

Required Qualifications

  • RN; Graduate of accredited school of nursing
  • Licensed as a Registered Nurse in the State of New Mexico
  • Basic computer skills in word processing and spreadsheet utilization
  • Excellent written and verbal communication skills
  • Proficient in computer use (desktop and/or laptop)
  • Basic knowledge regarding HIM coding standards
  • Analytic skills to assess patient medical records
  • Excellent interpersonal skills
  • Ability to be flexible and adjust to workload changes

Preferred Qualifications

  • BSN preferred
  • Minimum of 5 years recent experience in an acute care setting
  • Experience in clinical documentation improvement, utilization review/management, discharge planning, quality management, case management or coding