Oregon Licensed Clinical Documentation Specialist

Job Summary

Oregon Licensed Clinical Documentation Specialist, a full-time position responsible for conducting clinical reviews and analyses of medical documentation to ensure accurate capture of patient complexity and severity of illness.

Key Responsibilities

• Collaborates with healthcare providers to identify diagnoses and procedures while reviewing quality indicators
• Conducts ongoing concurrent and retrospective reviews for admissions, documenting findings in the EHR tracking system
• Educates providers on documentation practices and participates in special projects to enhance departmental education materials

Required Qualifications, Training, and Education

• Current Oregon RN License
• CCDS (Certified Clinical Documentation Specialist) or CDIP (Certified Documentation Improvement Practitioner) certification
• Minimum of two years of recent Clinical Documentation Improvement Specialist experience
• Knowledge of Medicare rules, regulations, and guidelines
• Preferred: BSN and proficiency in EPIC and 3M 360 Encompass software programs