Clinical Documentation Specialist II- Full Time Days

Clinical Careers Page(1 month ago)

OnsiteFull TimeSenior$101,113 - $138,691 (estimated)Health Information Management

About this role

A Clinical Documentation Improvement Specialist at Cape Fear Valley Medical Center ensures clinical documentation accurately reflects patient severity, resource utilization, and supports appropriate DRG-based reimbursement and quality reporting. The role is part of the Health Information Management team and partners with clinical and coding stakeholders to maintain documentation integrity.

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Required Skills

Clinical Documentation
Diagnosis Coding
DRG Assignment
Clinical Review
Communication
Critical Thinking
Microsoft Windows
Observation
Utilization Review

Qualifications

Associate's Degree in Nursing
Bachelor's Degree (Preferred)
Registered Nurse License (NC or Compact)
MD/DO (Preferred)
RN - Board Of Nursing

About Clinical Careers Page

capefearvalley.com

Cape Fear Valley Health is a regional health system headquartered in Fayetteville, North Carolina, serving southeastern North Carolina and surrounding communities. With more than 60 years of service, it operates a network of hospitals, outpatient centers, and primary and specialty care services that span pediatrics through geriatrics. The system emphasizes patient-centered, compassionate care and delivers comprehensive services including emergency, inpatient, and preventive care. Cape Fear Valley focuses on community health and accessibility through integrated clinical programs and local facilities.

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