Clinical Document Specialist

About Texas Children's Hospital

Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S.News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years.

Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Center for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; and Texas Children’s Hospital The Woodlands, a second community hospital opening in 2017. We have also created the nation’s first HMO for children, established the largest pediatric primary care network in the country and a global health program that is channeling care to children and women all over the world. Texas Children’s Hospital is also academically affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.

To join our community of 13,000 dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.

Summary:

Responsibilities

• Ensures that the medical record documentation provides an accurate representation of the patient’s clinical care, diagnosis, severity, and expected risk of mortality sufficient to support APR-DRG assignment
• Provides concurrent review and analysis of clinical information through electronic medical record review and interactions with providers
• Regularly reviews selected patients with coders and other team members for opportunities in improvement in documentation
• Develops physician education strategies to promote complete and accurate clinical documentation and correct negative trends
• Utilizes CDI software to gather and analyze information pertinent to documentation findings and outcomes
• Assists in the development and reporting of performance measures to the medical staff and other departments and prepare physician specific data information
• Actively participates in departmental and hospital committees and assigned Task Force groups

Qualifications

• Being fully vaccinated against COVID-19 is required for all employees unless approved for a medical or religious exemption
• Associate’s degree required
• Bachelor’s degree preferred
• MDL, RN, PA, RHIA, RHIT, CCS, CPC, CCDS DOC or CDIP certification required
• Pediatric experience preferred

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