Clinical Documentation Specialist at University of Arkansas System

Little Rock, Arkansas, United States -

Full Time

Start Date

Immediate

Expiry Date

11 Jan, 26

Salary

0.0

Posted On

13 Oct, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Clinical Documentation, Quality Improvement, Case Management, Clinical Audit, ICD-10 Coding, Healthcare Team Collaboration, Education Development, Patient Care

Industry

Higher Education

Description

Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com, then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System two-year institutions will also view open positions and apply within Workday by searching for “Find Jobs for Students”. All Job Postings will close at 12:01 a.m. CT on the specified Closing Date (if designated). If you close the browser or exit your application prior to submitting, the application process will be saved as a draft. You will be able to access and complete the application through “My Draft Applications” located on your Candidate Home page. Closing Date: 11/11/2025 Type of Position: Professional Staff - Project/Program Administration Job Type: Regular Work Shift: Day Shift (United States of America) Sponsorship Available: No Institution Name: University of Arkansas for Medical Sciences The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans. UAMS offers amazing benefits and perks (available for benefits eligible positions only): Health: Medical, Dental and Vision plans available for qualifying staff and family Holiday, Vacation and Sick Leave Education discount for staff and dependents (undergraduate only) Retirement: Up to 10% matched contribution from UAMS Basic Life Insurance up to $50,000 Career Training and Educational Opportunities Merchant Discounts Concierge prescription delivery on the main campus when using UAMS pharmacy Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click the Apply link/button. The University of Arkansas is an equal opportunity institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of any category or status protected by law, including age, race, color, national origin, disability, religion, protected veteran status, military service, genetic information, sex, sexual orientation, or pregnancy. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University’s Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights. Persons must have proof of legal authority to work in the United States on the first day of employment. All application information is subject to public disclosure under the Arkansas Freedom of Information Act. For general application assistance or if you have questions about a job posting, please contact Human Resources at askrecruitment@uams.edu. Department: FIN | CORE CDI Clinical Doc Team Department's Website: Summary of Job Duties: ***REMOTE - POSITION WILL WORK FROM HOME. WORK SCHEDULE BETWEEN 0700-1700.*** The Clinical Documentation Specialist is responsible for improving overall quality and completeness of clinical documentation to ensure that the information in the medical record accurately reflects the patient's severity of illness, clinical needs, and utilization of resources. This position is responsible for reviewing medical records to ensure the severity of illness and risk of mortality has been captured at the highest level. This position works with the providers of care to capture the clinical care in a code format for reimbursement and to ensure UAMS has the correct case mix. Qualifications: Minimum Qualifications: Registered Nurse (RN) with current license plus 4 years inpatient adult clinical experience in Emergency, Critical Care, or Medical/Surgical area with experience in Quality, Case Management, Clinical Audit CCDS at hire or can obtain within 6 months of hire Preferred Qualifications: Current CCDS Two years of clinical documentation experience Additional Information: Responsibilities: • Reviews all admission types to the hospital to ensure of severity is captured and then educates the providers of care on admission types. • Applies extensive clinical knowledge to read and analyze health record documentation, identifying all significant diagnoses, treatment, and procedures impacting acuity level and resources consumed throughout the current hospitalization; applies knowledge of disease processes, surgical procedures, UHDDS definitions, and the CMS/NCHS ICD-10 Official Coding Guidelines for Coding and Reporting to assign non-indexed terms to the appropriate class within the ICD-10 coding classification system. • Interacts directly with physicians, nursing staff, other patient caregivers, coding staff, and other members of the health care team to facilitate clarification of clinical documentation and transfer of knowledge related to accurate documentation, coding, and reimbursement practices; ensures that documentation is clear, concise, and written in diagnostic terms reflecting the highest level of specificity. • Develops and facilitates education related to clinical documentation improvement, coding guidelines, and regulatory requirements to all members of the healthcare team through one-on-one communication and classroom or large group presentations throughout the year as assigned. • Performs other duties as assigned. Salary Information: Commensurate with education and experience Required Documents to Apply: List of three Professional References (name, email, business title), Resume Optional Documents: Proof of Veteran Status Special Instructions to Applicants: Recruitment Contact Information: Please contact askrecruitment@uams.edu for any recruiting related questions. All application materials must be uploaded to the University of Arkansas System Career Site https://uasys.wd5.myworkdayjobs.com/UASYS Please do not send to listed recruitment contact. Pre-employment Screening Requirements: Criminal Background Check This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law. Constant Physical Activity: Manipulate items with fingers, including keyboarding, Repetitive Motion, Sitting Frequent Physical Activity: Hearing, Talking Occasional Physical Activity: Crawling, Crouching, Kneeling, Lifting, Pulling, Pushing, Standing, Walking Benefits Eligible: Yes The University of Arkansas System is a comprehensive, publicly-supported higher education institution composed of 18 unique campuses, divisions and administrative units that share the singular goal of serving Arkansas residents and others by developing and sharing knowledge to impact an ever-changing world. The UA System provides access to academic and professional education, and develops intellectual growth and cultural awareness in its students, staff and faculty. The system further promotes an atmosphere of excellence that honors the heritage and diversity of our state and nation. It provides students, researchers and professionals with tools to promote responsible stewardship of human, natural and financial resources in Arkansas and around the globe, and with workforce-relevant knowledge to enhance economic development efforts that improve the overall quality of life and societal well-being. Universities University of Arkansas, Fayetteville University of Arkansas at Little Rock University of Arkansas for Medical Sciences University of Arkansas at Monticello University of Arkansas at Pine Bluff University of Arkansas at Fort Smith The University of Arkansas System eVersity Two-Year Colleges Phillips Community College of the University of Arkansas University of Arkansas Community College at Hope-Texarkana University of Arkansas Community College at Batesville Cossatot Community College at the University of Arkansas University of Arkansas Community College at Morrilton University of Arkansas Community College at Rich Mountain University of Arkansas Pulaski Technical College Other Units University of Arkansas System Division of Agriculture Arkansas Archaeological Survey Criminal Justice Institute Arkansas School for Math, Sciences, and the Arts University of Arkansas Clinton School of Public Service Arkansas Research and Education Optical Network (ARE-ON)

Responsibilities

The Clinical Documentation Specialist is responsible for improving the quality and completeness of clinical documentation. This includes reviewing medical records and working with care providers to ensure accurate documentation for reimbursement.