CLIN DOC IMPROVEMENT SPECIALIST, CLINICAL DOCUMENTATION IMPR

SGMC Health
Valdosta, GA
Description

Location: Main Campus

Department: CLINICAL DOCUMENTATION IMPROVEMENT

Schedule: Full Time, 8 HR Day Shift,

Position Summary

Reviews medical records of inpatients and obtains appropriate physician documentation to support the appropriate severity of illness. Facilitates expected risk of mortality, and complexity of care of the patient thereby improving the overall quality and completeness of the medical record documentation. Educates members of the patient care team regarding documentation guidelines, including physicians, allied health practitioners, nursing and case management. Communicates with physicians on documentation needs to support length of stay, severity and DRG assignment.

Knowledge, Skills & Abilities

  • RN or other applicable clinical licensure required.
  • Bachelor’s degree strongly preferred.
  • Previous experience desired. At least 5 years clinical experience, preferable in multiple clinical areas or in an ICU.
  • Strongly prefer experience as a Clinical Documentation Specialist or as part of a Clinical Documentation Improvement Program.
  • Demonstrated expertise in management, problem solving, critical thinking, and data management including statistical reporting.
  • Knowledge of medical literature, research methodology, health care delivery systems, financial/reimbursement issues, utilization management, and the medical center/medical staff organizations.
  • Demonstrated knowledge of coding requirements, DRG assignments, case mix index calculations and severity/mortality profiles.
  • Computer skills desirable (must be willing to learn spreadsheet analysis, statistical functions, word processing).
  • Ability to understand larger scope of hospital-wide information systems. Excellent written and verbal communication skills including presentation and training skills essential.
  • Ability to influence decisions, gain cooperation, and facilitate change with physicians, all levels of management, employees and supervisors of other hospital departments.
  • Self -motivated and adaptive to change.

Working Conditions- Ada Information

Requires considerable standing, mental effort, and pushing.Requires walking from unit to unit carrying laptop. Requires operation of office equipment.Works in a high stress environment.
Posted 2025-08-06

Recommended Jobs

Barista - Phoebe Putney Memorial - Starbucks

Aramark
Albany, GA

Are you looking for an exciting, fast-paced, and social experience? Here’s your chance to do just that, in a role with unlimited career growth and opportunities! We’re hiring full-time Baristas to be…

View Details
Posted 2025-08-07

Hydrovac Operator

Pro-Vac
Atlanta, GA

As a Vac-Truck Operator at Pro-Vac... You will work with the largest Vac-Con fleet in the U.S to bring sustainable environmental services to our communities. Kinetic is a part of the Pro-Vac famil…

View Details
Posted 2025-07-25

Men's Grill Server/Bartender

Capital City Club
Atlanta, GA

Job Description Job Description Capital City Club Brookhaven Men’s Grill Server Bartender Capital City Club Brookhaven is a private club located in Atlanta. Home to a beautiful 18-hole golf…

View Details
Posted 2025-08-06

Insurance Team Leader / Sales Manager

Lee Matthews: Allstate Insurance
Gainesville, GA

Job Description Job Description Join Lee Matthews: Allstate Insurance as a dynamic Insurance Team Leader/Sales Manager based in Gainesville, Georgia. Embrace the opportunity to lead a talented sa…

View Details
Posted 2025-07-26

Operations Professional

Tiffany & Co.
Atlanta, GA

The Operations Professional at Tiffany & Co. in Atlanta is pivotal to back-of-house operations, ensuring seamless client service and inventory management. This role requires strategic thinking and han…

View Details
Posted 2025-07-29

Horizons Lifestyle Director

Oaks Senior Living
Hoschton, GA

Job Description Job Description Position Summary: The Memory Care Community was designed and created with the goal of serving senior residents with Alzheimer’s and other dementias in a residen…

View Details
Posted 2025-07-26

Tax Associate, CPA - Public Accounting

NorthPoint Search Group
Atlanta, GA

Tax Associate, CPA – Public Accounting Who: A CPA with a Master’s in Taxation or Accountancy and at least two years of public accounting experience. What: Join a growing firm handling complex ta…

View Details
Posted 2025-07-29

Radiologic Technologist (Allied)

Carenest Health Services
Cumming, GA

No local candidates within 50 miles. Schedule 7am-730pm Weekend shift F/S/S 13 weeks 721F Diagnostics Radiology - Rad Tech Min of 2 years of experience within specialty. Required BLS. AART 24 hour de…

View Details
Posted 2025-08-06

Dermatologist opening in NE Atlanta (Braselton)

Goodman Dermatology PC
Braselton, GA

Goodman Dermatology is expanding our presence in Atlanta, Georgia, and looking for a Board-Certified Dermatologist to join our practice and faculty in Braselton, GA. This opportunity will provide a m…

View Details
Posted 2025-08-10