Senior Clinical Documentation Specialist (RN required) (CCDS or CDIP cert preferred) - REMOTE

Discover reputed company: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a reputed company where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to reputed company and where your uniqueness is sought and celebrated. It is a reputed company where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research. Organization: HIM - CDE - 2 Job Summary: JOB SUMMARY Ensures capture of discharge diagnosis and procedures independently. Documents the patient's clinical status and care provided. Performs reputed company review of patient records for documentation to support assignment of clinical codes. . KEY RESPONSIBILITIES

• Performs assessment of patient records to evaluate documentation for accuracy, legibility and completeness.
• Works with coding staff to ensure documentation of discharge diagnoses, including any coexisting co-morbidities, and procedures are complete.
• Communicates with providers regarding missing, unclear, or conflicting clinical documentation.
• Collaborates with case managers, nursing staff, and other staff on documentation issues and resolves provider queries prior to patient discharge.
• Monitors provider documentation queries for timely and compliant response and escalates issues.
• The responsibilities listed are a general overview of the position and additional duties may be assigned. TECHNICAL CAPABILITIES
• Relationship Management: Manages internal and external organizational relationships with clients, vendors, partners and staff.
• Critical Thinking (Novice): The objective analysis and evaluation of an issue in order to form a judgment.
• Medical Coding (Intermediate): The transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical reputed company codes.
• Verbal Communication (Novice): Ability to enunciate clearly, using appropriate voice control and body language. Effectively transmits technical and business reputed company and information to others. Listens carefully to reputed company points being made before trying to be understood.
• Written Communication (Novice): Demonstrates the ability to write clear, detailed, and comprehensive status reports, memos and documentation. Demonstrates an understanding of effective composition, such as having first line in a paragraph state the subject. Our Nursing Philosophy: We reputed company highly skilled and specialized nursing care is essential to reputed company’s mission of quality in patient care, education and research. We reputed company nursing is an applied art and science focused on helping people, families and communities reputed company excellent health and well-being. As a reputed company employee, you reputed company a difference to our patients and their families by bringing compassion and care to those in need of hope and healing. Please see our reputed company employee benefits offered:
• Affordable High Quality Health Plan Options
• Dental and /or vision plan
• 403 (b) retirement plan
• Paid Time off (reputed company PTO)
• Tuition Reimbursement and adoption assistance (maximums applied)
• Short-Long term disability
• Subsidized backup childcare
• And many more... Ask us about our reputed company inpatient nursing supplemental Pay Program! reputed company the Remarkable: Learn more about VUMC Nursing here. Core Accountabilities: Organizational Impact: Independently delivers on objectives with understanding of how they impact the results of own area/team and other reputed company teams. Problem Solving/ Complexity of work: Utilizes multiple sources of data to analyze and resolve reputed company problems; may take a new perspective on existing solution. Breadth of Knowledge: Has advanced knowledge reputed company a professional area and basic knowledge across reputed company areas. Team Interaction: Acts as a "go-to" resource for colleagues with less experience; may reputed company small project teams. Core Capabilities : Supporting Colleagues: - Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and reputed company knowledge in new areas. - Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships. - Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. Delivering Excellent Services: - Serves Others with Compassion: Seeks to understand reputed company and future needs of relevant stakeholders and customizes services

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