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CoxHealth

Clinical Documentation Specialist

CoxHealth

. Facilitate timely and accurate physician documentation in the medical record through concurrent chart review .

Posted 9/25/2026full-timeSpringfield • Missouri • United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact
  • Facilitate timely and accurate physician documentation in the medical record through concurrent chart review
  • Communicate and collaborate with physicians, nursing, ancillary staff, and Health Information Management coders
  • Provide ongoing education to the patient care team regarding proper clinical documentation using approved guidelines
  • Understand and utilize ICD-10-CM and PCS coding assignments
  • Follow Official Coding Guidelines

Requirements

What you’ll need
  • Graduate of an approved nursing program
  • 3 years of acute care experience
  • Registered Nursing License
  • Ability to apply coding guidelines when reviewing documentation in the medical record
  • Ability to perform computer data entry
  • Ability to work with others and communicate effectively
  • Preferred: Bachelor's Degree in Nursing
  • Preferred: 5 years of acute care experience
  • Preferred experience in ED, ICU, Neuro or Stepdown
  • Preferred: CCDS or CDIP

Benefits

Comp & perks
  • Medical, Vision, Dental
  • Retirement with Employer Match
  • Benefits eligibility for employees working 20+ hours/week
  • Comprehensive benefits package