Clinical Documentation Analyst

Your experience matters 

Centerpoint Health - Georgetown Hospital is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Clinical Documentation Analyst joining our team, you’re embracing a vital mission dedicated to making communities healthier ^®. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.

Why join us

Fundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers:  

• Health (Medical, Dental, Vision) and 401K Benefits for full-time employees 
• Competitive Paid Time Off 
• Employee Assistance Program – mental, physical, and financial wellness assistance 
• Tuition Reimbursement/Assistance for qualified applicants 
• Advancement opportunities with responsive, supportive leadership 
• Continuing education opportunities 
• Free Parking 
• And much more… 

What we’re looking for 

The Clinical Documentation Analyst will facilitate improvement in the overall quality, completeness, and accuracy of clinical documentation. Through concurrent interaction with physicians, case managers, coders and other health care team members, the Clinical Documentation Analyst will strive to ensure comprehensive medical record documentation that reflects the clinical treatment, decisions, and diagnosis for all inpatients. Serving as a resource to all members of the health care team on documentation guidelines, this position will provide guidance and support, as well as assist with education and training related to improving clinical documentation.

How you’ll contribute 

A Clinical Documentation Analyst who excels in this role:

• Conduct daily reviews of inpatient medical records to identify missing, vague, and/or incomplete diagnoses and procedures.
• Conduct timely follow-up reviews of clinical documentation to ensure that issues discussed and queries left in the medical record have been answered by the provider.
• Utilize coding and clinical expertise to identify opportunities and ensure the accuracy and completeness of clinical documentation used for measuring and reporting physician and hospital outcomes.
• Query physicians on specificity of procedures performed and diagnoses based on accepted coding guidelines, clinical expertise and LifePoint Hospitals query policy.
• Track and trends specific opportunities for CDI process improvement through the utilization of metrics reports.
• Conduct educational sessions with physicians and other health care team members on documentation requirements.
• Prepare and presents educational programs to all internal constituents related to clinical documentation issues and coordinates same with clinical staff, physicians, compliance and coding staff.
• Make regular reports of progress toward goals associated with clinical documentation improvement opportunities and operational improvement plans.
• Assume responsibilities for following compliance guidelines with federal, state, and local regulations within the department.

Required and Qualifications:

• Education: Bachelor’s degree preferred

• Licenses: Credentialed status with AHIMA as a Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT), or Certified Coding Specialist (CCS) required.

• Experience: 

  • At least two years in coding, along with knowledge of concurrent coding and documentation improvement, is desired. 

  • Knowledge of computerized encoding, grouping and abstracting systems is preferred.

Schedule: Full Time 

EEOC Statement

Centerpoint Health - Georgetown Hospital is an Equal Opportunity Employer. Centerpoint Health - Georgetown Hospital is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.