Dir-Clinical Documentation

at  Ascension

DETAILS

• Department: Coding Documentation
• Schedule: M-F /8am-4:30pm
• Hospital: Seton Admin Offices
• Location: Austin, TX (may be remote, but must be able to travel to the area as needed)

REQUIREMENTS

Licensure / Certification / Registration:

• One or more of the following required:
• Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
• Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date.
• Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date.
• Registered Nurse obtained prior to hire date or job transfer date.
• Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
• Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.

Education:

• High School diploma equivalency with 5 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management OR Associate’s degree/Bachelor’s degree with 3 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management.

Direct the development and implementation of procedures and strategies that support the system-wide initiatives of the Clinical Documentation department.

Responsibilities:

• Direct standard clinical documentation.
• Collaborate with hospital leaders and external vendors to ensure accurate and timely clinical documentation in the medical record in order to attain appropriate Diagnosis Related Groups.
• Establish, manage, and evaluate system staffing levels, assignments, skills, learning needs, and deployment of staff.
• Develop departmental goals and objectives consistent with medical, administrative, legal and ethical requirements of the health care delivery system.
• Create and maintain system-wide documentation consistency and remain in compliance with governmental and other regulatory guidelines.