Clinical Documentation Specialist

Clinical Documentation Specialist


Healthcare Management

Employment Type



Lexington, Kentucky


Job Description:

Our client located in the Lexington, Kentucky area is seeking a Clinical Documentation Specialist to join their team. This position is offering competitive compensation and a nice sign-on bonus. The ideal candidate has their ADN/BSN and three years of experience in the field. The client will move fast for the right candidate.


Job Responsibilities for the Clinical Documentation Specialist:

  • Conducts daily concurrent reviews of medical records to identify missing, vague and/or incomplete diagnoses and procedures.

  • Conducts timely follow up reviews of clinical documentation to ensure that issues discussed and issued queries have been answered by providers.

  • Queries physicians on specificity of procedures performed and diagnoses based on accepted coding guidelines and clinical expertise.

  • Participates in department and facility Quality and Performance initiatives.

  • Maintains education record with meets minimum corporate CEU requirements.

  • Maintains clean work station, follows all safety regulations, Code of Conduct and ethics, customer service, and attends hospital training and departmental staff meetings.

Minimum Job Requirements for the CDS position:

  • Current and active Kentucky RN License
  • RHIT or RHIA Certification
  • Certified Coding Specialist - Physician (CCS-P) or Certified Coding Specialist (CCS)
  • Thorough understanding of ICD-10, HCPCS/CPT coding systems

For more information on this opportunity or others positions nationwide, please apply with an updated resume.