Clinical Documentation Improvement Specialist-RN

About Us

Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Health’s robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet® nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); The University of Texas MD Anderson Cancer Center; and the Tilman J. Fertitta Family College of Medicine at the University of Houston.

Job Profile

JOB SUMMARY:

The Clinical Documentation Improvement Specialist will be responsible for facilitating accurate and timely clinical documentation through concurrent and retrospective reviews of medical records, developing and formatting compliant physician querying, and assignment of working DRGs. The Clinical Documentation Improvement Specialist will help identify opportunities for improvement in inpatient clinical medical documentation to reflect the accurate severity of illness, expected risk of mortality, and complexity of care of the patient, including appropriate principal diagnosis/procedure and secondary diagnoses/procedures.

MINIMUM QUALIFICATIONS:

1. Education/Work Experience/Licensure:
a) Bachelor of Science in Nursing (And) Two (2) Year Work Experience of acute/critical care nursing experience

(Or)

Associate Degree in Nursing (And) Three (3) Years Work Experience of acute/critical care nursing experience
b)Current RN licensure
c) Certificate: Certified Clinical Documentation Specialist credential through ACDIS or Certified Documentation Improvement Practitioner credential through AHIMA (required within 3 years of employment).

2. Management Experience (Years and Area): None required
3. Equipment Operated: Standard Office Equipment

SPECIAL REQUIREMENTS:
1. Communication Skills:
Above Average Verbal (Heavy Public Contact)
Exceptional Verbal (Public Speaking)
Writing/Composing (Reports)
2. Other Skills:
Analytical, Mathematics, Medical Terms, Research, Statistical, P.C., MS Word, MS Excel
3. Advanced Education Preference:
Advanced Training - Specialty: Certified Clinical Documentation Specialist credential through ACDIS or Certified Documentation Improvement Practitioner credential through AHIMA (required within 3 years of employment).
4. Work Schedule: Flexible

Benefits and EEOC

Harris Health System's benefits program is designed to provide you with more flexibility and choices in meeting your specific needs. Harris Health System's benefits program allows you to protect your income in case of illness, death and disability, and to help you save for retirement.

It is the policy of Harris Health System to provide equal opportunity for all applicants for employment regardless of political affiliation, race, color, national origin, age, sex, religious creed or disability. Applicants may request any reasonable accommodation(s) to participate in the application process.

Job Category

Nursing