Documentation Clerk jobs in North Dakota

Documentation Clerk is responsible for clerical duties related to the maintenance of technical documentation. Completes tracking, logging, updating and version control of technical documents according to business standards. Being a Documentation Clerk requires a high school diploma or equivalent. Typically reports to a supervisor. The Documentation Clerk works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)

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Clinical Documentation Specialist
  • Sanford Health
  • Fargo, ND FULL_TIME
  • Create Your Career With Us!

    Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

    Facility: Broadway Hospital

    Location: Fargo, ND

    Address: 801 Broadway N, Fargo, ND 58102, USA

    Shift: Day

    Job Schedule: Full time

    Weekly Hours: 40.00

    Starting Rate: $27.50 - $44.00

    Pay Info: ** experience credit added to wage

    Job Summary**

    The Clinical Documentation Specialist (CDS) communicates with providers, case managers, coders, and other healthcare team members to facilitate comprehensive medical record documentation to reflect clinical treatment, decisions, and diagnoses for inpatients/residents. The CDS utilizes the hospital's designated clinical documentation system to identify opportunities for physician and hospital outcomes, provides or coordinates education to all internal customers related to compliance, coding, and clinical documentation issues and acts as a consultant to coders when additional information or documentation is needed to assign the correct diagnosis related group (DRG). Responsible for the day-to-day evaluation of documentation by the medical staff and healthcare team, and gathers and analyzes information pertinent to documentation findings and outcomes. Contributes to a positive working environment and performs other duties as assigned or directed to enhance the overall efforts of the organization.

    Must possess advanced communication and interpersonal skills with all levels of internal and external customers. Demonstrate excellent written/verbal communication, critical thinking, creative problem solving, and conflict management skills. Proficient in organization and planning. Possess strong computer skills including the use of spreadsheets, presentation programs, word processing, and Internet searching. Also demonstrates working knowledge of quality improvement theory and practice. Maintains working knowledge of DRGs and understanding of medical necessity process. Knowledgeable of federal, state, and other payers' regulations, requirements, and criteria. Adheres to ethical and professional business practices, such as the Association of Clinical Documentation Improvement Specialists (ACDIS) code of ethics and official coding guidelines. Utilizes the appropriate professional documentation to support daily processes, including white papers published by ACDIS, American Health Information Management Association (AHIMA), and other professional organizations.

    May perform record reviews on clients in all age groups. Coordinates, facilitates, and negotiates with others. Controls variances and duplication. Must work closely with ancillary and support services. Ability to document clearly. Ability to solve problems. Ability to facilitate groups and implement projects when necessary.

    Functions within the scope and standards of nursing practice as outlined in the Nurse Practice Act and Administrative Rules in state of practice and licensure. The Professional Nursing Practice recognizes the Scope and Standards of Practice and the Code of Ethics for Nurses with Interpretive Statements as published by the American Nurses Association as the foundation of nursing care delivery and professional conduct.

    Qualifications

    Bachelor’s degree in nursing required. Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). If no degree, will consider seven years equivalent work experience.

    Additionally, three years of recent clinical nursing experience required. Experience in case management, utilization management, and/or coding preferred.

    Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state. Obtains and subsequently maintains required department specific competencies and certifications. Certification in Clinical Documentation Specialist (CCDS) or Clinical Documentation Improvement and Integrity (C-CDI) preferred. Quality improvement/assurance personnel with nursing backgrounds can maintain their license without seeking additional hours based on role’s responsibilities.

    Benefits

    Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .

    Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .

    Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

    Req Number: R-0175368

    Job Function: Care Coordination

    Featured: No

  • 22 Days Ago

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Clerk
  • Postal Source
  • Fargo, ND FULL_TIME
  • POSTAL CLERK NO EXPERIENCE REQUIRED PAID TRAINING PROVIDED JOB SECURITY The Postal Service is the largest government related agency in terms of employees. The Postal Service currently employs nearly 1...
  • Just Posted

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Clerk
  • Dollar General
  • Wahpeton, ND FULL_TIME
  • Overview Save money. Every day. by offering products that are frequently used and replenished, such as food, snacks, health and beauty aids, cleaning supplies, basic apparel, housewares and seasonal i...
  • 4 Days Ago

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Clerk
  • Black Hills Trucking, Inc.
  • Williston, ND FULL_TIME
  • Summary This is a full-time position that is responsible for providing terminal office clerical assistance, and completing and maintaining records of transactions. To perform this job successfully, an...
  • 1 Month Ago

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Clerk
  • Black Hills Trucking, Inc.
  • Williston, ND FULL_TIME
  • Summary This is a full-time position that is responsible for providing terminal office clerical assistance, and completing and maintaining records of transactions. To perform this job successfully, an...
  • 2 Months Ago

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Receiving Clerk
  • Vcsu
  • ND, ND FULL_TIME
  • Title Receiving Clerk Description Summary / Objective The receiving clerk position verifies and keeps records on incoming shipments, by performing the following duties to quality and productivity stan...
  • 20 Days Ago

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Legal Document Clerk
  • REESE LAW GROUP APLC
  • Carlsbad, CA
  • Job Description Job Description Summary Reese Law Group is a civil litigation law firm representing clients in all stage...
  • 3/28/2024 12:00:00 AM

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Document Clerk
  • Lipsey, Morrison, Waller & Lipsey, P.C.
  • Knoxville, TN
  • Job Description Job Description Established Knoxville law firm seeks a team member for its financial services department...
  • 3/28/2024 12:00:00 AM

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Assembler
  • Timken
  • Lebanon, NH
  • Your Career Begins at Timken If you're ready for a challenging career that provides you with the ability to advance pers...
  • 3/28/2024 12:00:00 AM

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Operations Assistant
  • Cynet Systems
  • Kansas City, MO
  • Job Description Job Description We are looking for Operations Assistant for our client in Kansas City, MO Job Title: Ope...
  • 3/28/2024 12:00:00 AM

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Nurse (or LPN), Finger Lakes Occ Health (TAR)
  • The University of Rochester
  • Rochester, NY
  • Responsible for nursing care support for Finger Lakes Occupational Health Services by providing patient/client care, doc...
  • 3/28/2024 12:00:00 AM

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Document Control Records Management - Document Administration
  • Scope Services
  • Cedar Rapids, IA
  • Job Description Job Description Job description Knowledge and Skill: Creates and verifies completion reports for FCC ant...
  • 3/27/2024 12:00:00 AM

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International Document Clerk - Entry Level
  • UFP Industries
  • Miami, FL
  • Join our operations team where you will be influential in shaping our business strategy and ensuring we have the most ef...
  • 3/26/2024 12:00:00 AM

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Document Administrator
  • LP Analyst
  • Dallas, TX
  • Company Overview LP Analyst is a leading independent private asset cloud-based analytics and consulting solutions firm t...
  • 3/25/2024 12:00:00 AM

North Dakota is a Midwestern state of the United States. It borders Canada and lies at the center of the North American continent. The geographic center of North America is near the town of Rugby. Bismarck is the capital of North Dakota, and Fargo is the largest city. Soil is North Dakota's most precious resource. It is the base of the state's great agricultural wealth. But North Dakota also has enormous mineral resources. These mineral resources include billions of tons of lignite coal. In addition, North Dakota has large oil reserves. Petroleum was discovered in the state in 1951 and quickly...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Documentation Clerk jobs
$42,997 to $54,580

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