Lake Charles Memorial Health System
Clinical Document Improvement Specialist RN (Full Time)
Lake Charles Memorial Health System, Lake Charles, Louisiana, us, 70612
Clinical Document Improvement Specialist RN (Full Time)
Join Lake Charles Memorial Health System as a Clinical Document Improvement Specialist RN – a full‑time position focused on ensuring accurate and complete medical record documentation to support coding, reimbursement, and quality metrics.
Responsibilities
Review inpatient admissions to identify opportunities to improve documentation quality.
Comply with all relevant policies, procedures, guidelines and regulatory standards.
Initiate physician interaction for clarification of ambiguous or conflicting documentation and guarantee it is recorded per policy.
Maintain positive, open communication with physicians, the care team, and coding staff.
Participate in professional development workshops, conferences, and in‑services.
Educate on the importance of complete documentation for coding quality, DRG assignment, physician profiling, case mix index, and expected mortality rates.
Stay current with changes in coding guidelines, compliance, reimbursement, and relevant regulatory updates.
Understand the flow of health information from documentation to coding, billing, and data reporting.
Qualifications
Graduate of an approved nursing school.
Basic computer skills.
Current nursing license in Louisiana or a multi‑state compact license.
Maintain required hours of in‑service per year for continuing education.
CPR certification.
Proficiency in English reading, writing, and speaking.
Physical Demands / Work Environment
Variety of physical activities, including moving within and outside hospital properties for long periods.
Responsive to emergency and non‑emergency situations.
May assist in controlling disorderly or combative patients.
Communicate accurately with patients, families, peers, and medical personnel.
Reasonable accommodations may be provided to enable performance of essential functions.
Benefits & Culture Lake Charles Memorial Health System is a nationally certified Great Place to Work® committed to exceptional patient care and to the well‑being and professional growth of employees.
Referrals increase your chances of being selected for an interview by approximately two times.
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Responsibilities
Review inpatient admissions to identify opportunities to improve documentation quality.
Comply with all relevant policies, procedures, guidelines and regulatory standards.
Initiate physician interaction for clarification of ambiguous or conflicting documentation and guarantee it is recorded per policy.
Maintain positive, open communication with physicians, the care team, and coding staff.
Participate in professional development workshops, conferences, and in‑services.
Educate on the importance of complete documentation for coding quality, DRG assignment, physician profiling, case mix index, and expected mortality rates.
Stay current with changes in coding guidelines, compliance, reimbursement, and relevant regulatory updates.
Understand the flow of health information from documentation to coding, billing, and data reporting.
Qualifications
Graduate of an approved nursing school.
Basic computer skills.
Current nursing license in Louisiana or a multi‑state compact license.
Maintain required hours of in‑service per year for continuing education.
CPR certification.
Proficiency in English reading, writing, and speaking.
Physical Demands / Work Environment
Variety of physical activities, including moving within and outside hospital properties for long periods.
Responsive to emergency and non‑emergency situations.
May assist in controlling disorderly or combative patients.
Communicate accurately with patients, families, peers, and medical personnel.
Reasonable accommodations may be provided to enable performance of essential functions.
Benefits & Culture Lake Charles Memorial Health System is a nationally certified Great Place to Work® committed to exceptional patient care and to the well‑being and professional growth of employees.
Referrals increase your chances of being selected for an interview by approximately two times.
#J-18808-Ljbffr