Clinical Documentation Specialist

Lutheran Health Network of Indiana - Fort Wayne, IN

Under the supervision of the Director, Record Management in coordination with the Director of Case Management, facilitates modifications to clinical documentation through extensive concurrent interaction with physicians, nursing staff, other patient caregivers, and medical records coding staff to support that appropriate reimbursement and clinical severity is captured for the level of service rendered to all patients. Supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and Hospital outcomes. Educates all members of the patient care team on an ongoing basis.

Education/Experience/Registration/Certification/Licensure: Graduate of a nursing program with current licensure as a Registered Nurse in the State of Indiana with two years of recent clinical nursing experience.


A minimum of two years inpatient coding experience plus a RHIA, RHIT or CCS, or eligibility for certification. Must successfully pass certification within six months following eligibility and maintain certification.

Utilization review, care management, educator or coding auditing experience a plus. Experience working directly with physicians a plus. BSN a plus.

Equal Opportunity Employer