Clinical Documentation Coordinator / Clinical Documentation Improvement / Full Time

Responsible for analyzing and auditing medical records concurrently to ensure that the clinical information within the medical record is specific, accurate, clinical valid, complete, and compliant. Communicates need for improved documentation to providers to assure appropriate reimbursement for services provided and assure evidence-based practice guidelines are followed to maximize reimbursement for value-based purchasing. **Summary of Performance Expectations:** Responsible for analyzing and auditing medical records concurrently to ensure that the clinical information within the medical record is specific, accurate, clinical valid, complete, and compliant. Communicates need for improved documentation to providers to assure appropriate reimbursement for services provided and assure evidence-based practice guidelines are followed to maximize reimbursement for value-based purchasing. **Education and Credentials:** **Required:** - Graduate of accredited nursing program. - Current NC RN license or licensure from Nursing Compact State. - Bachelor’s degree in Nursing. - Professional Certification in Medical Coding required or obtained within four years of employment or placement into position. **Preferred:** **Work Experience:** **Required:** Five years of direct clinical nursing experience. Given training and on-the-job experience incumbent should be proficient in the basic aspects of the job within three months of employment date. **Preferred:** Five years experience with a Clinical Documentation Improvement Program. Two years of experience in management. ### About the Company **About Catawba Valley Medical Center** **COMPREHENSIVE, ACCESSIBLE HEALTHCARE SERVICES IN THE CATAWBA VALLEY** As the region’s largest not-for-profit community hospital, we exist to heal and comfort patients, to promote and foster a healthier community, and to ensure access to healthcare to all who need it - regardless of ability to pay. With a wide array of medical specialties, our skilled nurses and providers are trained to treat virtually any type of injury or illness, providing high-quality, easily accessible healthcare close to home. Our mission: Exceptional Healthcare. Every Person. Every Time. **At A Glance:** - Region’s only level III Neonatal Intensive Care Unit (NICU) - Women’s Choice Award winner for America’s Best 100 Hospitals for Patient Experience for six consecutive years - American College of Surgeons Accredited Comprehensive Community Cancer Center **HIGH LEVEL OF TECHNICAL CARE FROM MEDICAL EXPERTS** Catawba Valley Medical Center offers a wide range of services from experienced medical specialists capable of addressing virtually any healthcare concern. Our current hospital holds 258 beds and serves the five-county Hickory area. Through our skilled medical practitioners and our highly trained staff, we strive to provide the highest level of medical expertise using the latest, state-of-the-art technology available. One of our goals at Catawba Valley Medical Center is to provide seamless care between your primary care provider and our hospital. Being a part of a vast healthcare network allows for easier and more efficient communication between local physicians, medical specialists and our hospital. No one should have to travel far for the expert level medical treatment they need. We work with a plethora of medical specialists capable of diagnosing, treating and operating on a wide variety of conditions.