Clinical Documentation Specialist

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Job Description

  • About Us

  • CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence:

    • Named one of Modern Healthcare’s Best Places to work five times

    • Named one of America’s Greatest Workplaces by Newsweek in 2024.

    • Recognized as a Greatest Workplace for Women in both 2023 and 2024.

    • Listed as one of the Greatest Workplaces for Diversity in 2024.

    • Acknowledged by Forbes as one of the Best Employers for New Grads in 2023.

    • Ranked among the Best Employers by State for Missouri.

    • Healthcare Innovation's Top Companies to Work for in Healthcare in 2025.

  • Benefits

    • Medical, Vision, Dental, Retirement Plan with employer match, and many more!

    • For a comprehensive list of benefits, please click here: Benefits | CoxHealth

  • Job Summary
    • This position is responsible for facilitating timely and accurate physician documentation in the medical record through concurrent chart review. Interdisciplinary communication and collaboration with physicians, nursing, and ancillary staff including Health Information Management coders is key to the success of this position. This position is also responsible for ongoing education of the patient care team regarding proper clinical documentation utilizing approved guidelines. Understand and utilization of ICD-10-CM and PCS coding assignment and follow Official Coding Guidelines.
  • Job Requirements
    • Education
      • Required: Graduate of an approved nursing program
      • Preferred: Bachelor's Degree in Nursing
    • Experience
      • Required: 3 year’s acute care experience, 5 years preferred
      • Preferred: Preferred experience in (ED, ICU, Neuro or Stepdown)
    • Skills
      • Ability to apply coding guidelines when reviewing documentation in the medical record.
      • Ability to perform computer data entry.
      • Ability to work with others and communicate effectively.
    • Licensure/Certification/Registration
      • Required: Registered Nursing License
      • Preferred: CCDS or CDIP
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Specialties:

  1. Nursing

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Why CoxHealth?

We are a health system that includes six hospitals with over 80 clinics and 537 physicians serving 24 counties. CoxHealth is Missouri’s first hospital system accredited by DNV Healthcare for quality and patient safety. All six hospitals, as well as our outpatient centers and provider-based clinics, hold this national distinction from DNV’s accreditation program, the National Integrated Accreditation of Healthcare Organizations. The hospital is also the only facility in the region to receive the ANCC Magnet designation, which recognizes excellence in nursing. We are the only local health system named six times to U.S. News & World Report’s Best Regional Hospitals list, and we are recognized by CareChex as among the Top 10 percent of U.S. hospitals for medical excellence and patient safety in overall medical care.