Clinical Documentation Specialist RN
hackensackmeridianhealth
Clinical Documentation Specialist RN
commonspirit· Clinical Documention Improvement Program
About this role
Where You’ll Work
St. Luke’s Health–Brazosport Hospital is located on a beautiful, 25-acre campus in Lake Jackson, Texas. Offering state-of-the-art diagnostic and comprehensive treatment services, our hospital is home to a 154-bed patient tower, level III trauma center, advanced cardiac care center, and full-service, multidisciplinary cancer center. Our team consists of over 100 board-certified physicians and nearly 600 highly skilled employees to meet our patients’ medical needs. South Brazoria County’s premier healthcare system, St. Luke’s Health–Brazosport Hospital is dedicated to providing quality care with compassion for the communities we serve.
Job Summary and Responsibilities
As a Clinical Documentation Specialist, you will provide critical expertise in medical record accuracy and integrity, profoundly impacting patient care quality and financial compliance.Every day you will expertly review clinical documentation, query physicians for clarity and specificity, educate providers on documentation best practices, and meticulously ensure all records accurately reflect the patient's severity of illness and complexity of care.To be successful, you will demonstrate outstanding analytical skills, strong knowledge of clinical coding guidelines, and a collaborative, detail-oriented demeanor, contributing to precise data, appropriate reimbursement, and improved patient outcomes.
- Reviews medical record for completeness and accuracy for severity of illness (SOI) and quality using the Compliant Documentation Management Program (CDMP) documentation strategies
- Accurate and timely record review
- Recognize opportunities for documentation improvement
- Initiates CDMP severity Worksheet for inpatients
- Formulate clinically credible documentation clarifications
- Request documentation clarifications as appropriate for SOI, Core Measures, and Patient Safety
Job Requirements
Required
- Associates degree in Nursing required
- Five (5) years of adult acute care experience in med/surg, critical care, emergency room, or PACU, upon hire
- Registered Nurse: TX, upon hire
Frequently Asked Questions
Is the salary disclosed for the Clinical Documentation Specialist RN position at commonspirit?
The salary for this Clinical Documentation Specialist RN role at commonspirit is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Is the Clinical Documentation Specialist RN role at commonspirit full-time or part-time?
This is listed as a OTHER position. It is posted as a Clinical Documentation Specialist RN role in the Clinical Documention Improvement Program department at commonspirit.
Which team or department does the Clinical Documentation Specialist RN at commonspirit belong to?
This Clinical Documentation Specialist RN position is part of the Clinical Documention Improvement Program department at commonspirit. See the full job description for more information about the team structure and responsibilities.
How do I apply for the Clinical Documentation Specialist RN position at commonspirit?
Click the "Apply Now" button on this page. You will be redirected to commonspirit's official application portal hosted on icims where you can submit your application directly.
When was the Clinical Documentation Specialist RN job at commonspirit posted?
This Clinical Documentation Specialist RN position at commonspirit was posted on Aug 13, 2026. Apply as soon as possible — early applications are often reviewed first.
Clinical Documentation Specialist RN
commonspirit
You'll be redirected to commonspirit's official application page on icims.