Professional Clinical Documentation Specialist Job at Norman Regional Health System, Norman, OK

QmlTRkhKWVJDWURxTTF2MlVIWjhaYmlxOHc9PQ==
  • Norman Regional Health System
  • Norman, OK

Job Description

Departmental Overview

#HireNRHS

Compensation / Benefits

  • $23.79-$38.36/hr based on previous work experience
  • Benefits include medical, dental, vision, short-term disability, long-term disability, life insurance, paid time off (PTO), paid holidays, tuition reimbursement, scholarship opportunities, retirement plans, free parking, and opportunities for advancement

Job Summary

Job Summary

  • Improves the overall quality and completeness of clinical documentation by performing systematic chart reviews on a daily basis, querying physicians and proactively soliciting clarification from physicians, as needed.
  • Demonstrates knowledge of documentation requirements and coding guidelines that pertain to diagnosis coding to accurately reflect the complexity and medical necessity of the encounter.
  • Routinely participates/provides education (including one-on-one education) to physicians, facility/clinic staff and other key healthcare providers.
  • Utilizes software systems to collect and ensure the effectiveness of the data.

Qualifications

Education

  • Associates Degree in Nursing required, Bachelors of Science in Nursing preferred.

Experience

  • 3 to 5 years direct clinical nursing experience required
  • Experience in a broad range of clinical situations/settings preferred

(Above requirements can be met by the equivalent combination of education and experience).

Licensure/Certification

  • Current Oklahoma RN licensure required.
  • Professional certification in Clinical Documentation, CCDS, CCDS-O or CDIP preferred and/or Professional coding certification, RHIA, RHIT, CCS, CCS-P, COC or CRC preferred

Other Knowledge/Skills/Abilities

  • Knowledge of Excel, Microsoft Word, Microsoft PowerPoint and Microsoft Outlook
  • Strong interpersonal, communication (verbal and non-verbal and listening) skills
  • Experience in developing and presenting education programs
  • Analytical skills
  • Needs to be self-motivated, self-directed and able to work independently with minimal supervision
  • Well organized and detail oriented
  • Capable of critical thinking, reasoning, deduction and inference while displaying the ability to draw accurate conclusions
  • If not already obtained, certification in Clinical Documentation and/or coding certification is voluntary but highly recommended within 3 - 5 years.

Schedule

Days

Work Shift

Day

Position Type

Regular Full Time

Job Tags

Full time, Temporary work, Work experience placement, Shift work,

Similar Jobs

RTX Corporation

Summer 2026, Intern: MBA Corporate Strategy & Development Job at RTX Corporation

 ...military and government customers worldwide. It comprises three industry-leading businesses - Collins Aerospace, Pratt & Whitney, and Raytheon. Its ~185,000 employees enable the company to operate at the edge of known science as they imagine and deliver solutions that push... 

FedEx Services

Package handler Job at FedEx Services

 ...career! Federal Express Corporation (FEC) is part of the rapidly growing warehouse and...  ...per hour paid weekly for both full and part time opportunities \$5,250 tuition reimbursement...  ...process should contact recruitmentsupport@fedex.com. Applicants have rights under Federal... 

AZM Incorporated

Verizon Sales Account Representative Job at AZM Incorporated

 ...partnerships with telecommunication companies like Verizon 5G let us amplify our reach and elevate...  ..., we show up, speak clearly, and drive customer impact. About The Role: Verizon Sales...  ...Complete all sales, upgrades, and service enrollments meeting compliance standards... 

BAE Systems

Director, International Business Development Japan Lead Job at BAE Systems

 ...Japanese market. This position will be based out of Nashua New Hampshire or Washington DC and will support international captures in Japan across all ES Business Areas. This position will be responsible to develop and maintain relationships with Japanese end-users and... 

TAP Engineering

Mechanical Engineer Job at TAP Engineering

 ...Position: Mechanical Engineer Location: US MD, Columbia Category: Hardware Clearance Requirement: Active SECRET We are...  ...Engineering or related field 15 years of relevant experience (internships, co-ops, or academic projects related to electronics or...