CoxHealth
Clinical Documentation Specialist - HIM Documentation Improvement
CoxHealth, Springfield, Missouri, us, 65897
Summary
About Us
CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence:
Named one of Modern Healthcare’s Best Places to work five times.
Named one of America’s Greatest Workplaces in Health Care by Newsweek.
Named one of America’s Greatest Workplaces by Newsweek in 2024.
Recognized as the Greatest Workplace for Women in both 2023 and 2024.
Listed as one of the Greatest Workplaces for Diversity in 2024.
Acknowledged by Forbes as one of the Best Employers for New Grads in 2023.
Ranked among the Best Employers by State for Missouri.
Healthcare Innovation's Top Companies to Work for in Healthcare in 2025.
Benefits
Medical, Vision, Dental, Retirement Plan with employer match, and many more!
For a comprehensive list of benefits, please click here:
Benefits | CoxHealth
Job Summary
This position is responsible for facilitating timely and accurate physician documentation in the medical record through concurrent chart review. Interdisciplinary communication and collaboration with physicians, nursing, and ancillary staff including Health Information Management coders is key to the success of this position. This position is also responsible for ongoing education of the patient care team regarding proper clinical documentation utilizing approved guidelines. Understand and utilization of ICD-10-CM and PCS coding assignment and follow Official Coding Guidelines.
Job Requirements
Education
Required: Graduate of an approved nursing program
Preferred: Bachelor's Degree in Nursing
Experience
Required: 3 year’s acute care experience, 5 years preferred
Preferred: Preferred experience in (ED, ICU, Neuro or Stepdown)
Skills
Ability to apply coding guidelines when reviewing documentation in the medical record.
Ability to perform computer data entry.
Ability to work with others and communicate effectively.
Licensure/Certification/Registration
Required: Registered Nursing License
Preferred: CCDS or CDIP
About Us
CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence:
Named one of Modern Healthcare’s Best Places to work five times.
Named one of America’s Greatest Workplaces in Health Care by Newsweek.
Named one of America’s Greatest Workplaces by Newsweek in 2024.
Recognized as the Greatest Workplace for Women in both 2023 and 2024.
Listed as one of the Greatest Workplaces for Diversity in 2024.
Acknowledged by Forbes as one of the Best Employers for New Grads in 2023.
Ranked among the Best Employers by State for Missouri.
Healthcare Innovation's Top Companies to Work for in Healthcare in 2025.
Benefits
Medical, Vision, Dental, Retirement Plan with employer match, and many more!
For a comprehensive list of benefits, please click here:
Benefits | CoxHealth
Job Summary
This position is responsible for facilitating timely and accurate physician documentation in the medical record through concurrent chart review. Interdisciplinary communication and collaboration with physicians, nursing, and ancillary staff including Health Information Management coders is key to the success of this position. This position is also responsible for ongoing education of the patient care team regarding proper clinical documentation utilizing approved guidelines. Understand and utilization of ICD-10-CM and PCS coding assignment and follow Official Coding Guidelines.
Job Requirements
Education
Required: Graduate of an approved nursing program
Preferred: Bachelor's Degree in Nursing
Experience
Required: 3 year’s acute care experience, 5 years preferred
Preferred: Preferred experience in (ED, ICU, Neuro or Stepdown)
Skills
Ability to apply coding guidelines when reviewing documentation in the medical record.
Ability to perform computer data entry.
Ability to work with others and communicate effectively.
Licensure/Certification/Registration
Required: Registered Nursing License
Preferred: CCDS or CDIP